Teddy H Davis
LAKEWAY REGIONAL ANESTHESIA SERVICES


Address: 110 Hospital Dr, Jefferson City, TN 37760-5281
Phone: 4235226004

Teddy H Davis (NPI# 1194162966, PAC ID# 1658505862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1194162966
PAC ID by PECOS 1658505862
Professional Enrollment ID I20141203000447
Full Name Teddy H Davis
Organization Legal Name LAKEWAY REGIONAL ANESTHESIA SERVICES
Address 110 Hospital Dr
Jefferson City
TN 37760-5281
Phone Number 4235226004
Gender M
Graduation Year 2012
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 5294755229
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440056 TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
110 Hospital Dr, Jefferson City, TN 37760-5281 4235226004 LAKEWAY REGIONAL ANESTHESIA SERVICES
726 Mcfarland St, Morristown, TN 37814-3989 4235226160 LAKEWAY REGIONAL ANESTHESIA SERVICES

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_426_overall Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) 100%

Organization Information

Organization Legal Name LAKEWAY REGIONAL ANESTHESIA SERVICES
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Travis Mills Certified Registered Nurse Anesthetist (crna) Lakeway Regional Anesthesia Services 110 Hospital Dr, Jefferson City, TN 37760-5281
David C Olsen Certified Registered Nurse Anesthetist (crna) Lakeway Regional Anesthesia Services 619 W 7th N St F, Morristown, TN 37814-3954
Andrea K Bonnell Certified Registered Nurse Anesthetist (crna) Lakeway Regional Anesthesia Services 110 Hospital Dr, Jefferson City, TN 37760-5281
Don Quilliams Certified Registered Nurse Anesthetist (crna) Lakeway Regional Anesthesia Services 110 Hospital Dr, Jefferson City, TN 37760-5281
Herbert C Armstrong Certified Registered Nurse Anesthetist (crna) Lakeway Regional Anesthesia Services 110 Hospital Dr, Jefferson City, TN 37760-5281

Office Location

Street Address 110 HOSPITAL DR
City JEFFERSON CITY
State TN
Zip 37760-5281

Physicians in the same location

Name Specialty Organization Address
Travis Mills Certified Registered Nurse Anesthetist (crna) Lakeway Regional Anesthesia Services 110 Hospital Dr, Jefferson City, TN 37760-5281
Andrea K Bonnell Certified Registered Nurse Anesthetist (crna) Lakeway Regional Anesthesia Services 110 Hospital Dr, Jefferson City, TN 37760-5281
Joseph S Smith Cardiovascular Disease (cardiology) Knoxville Heart Group, Inc. 110 Hospital Dr, Jefferson City, TN 37760-5281
Valerie A Hart Emergency Medicine Cocke Emergency Group, PC 110 Hospital Dr, Jefferson City, TN 37760-5281
Lee R Dilworth Cardiovascular Disease (cardiology) Knoxville Heart Group, Inc. 110 Hospital Dr, Jefferson City, TN 37760-5281
Alyssa Musser Nurse Practitioner Cocke Physician Services PC 110 Hospital Dr, Jefferson City, TN 37760-5281
Daniel Edgar Treiyer Internal Medicine Adventist Health System Georgia Inc 110 Hospital Dr, Calhoun, GA 30701-2079
Alexandra M Bowling Hospitalist Cocke Physician Services PC 110 Hospital Dr, Jefferson City, TN 37760-5281
Rabie Ibrahim Adam-eldien Nephrology Cocke Physician Services PC 110 Hospital Dr, Jefferson City, TN 37760-5281
Scott E Mcmaster Emergency Medicine Southeastern Emergency Physicians LLC 110 Hospital Dr, Jefferson City, TN 37760-5281
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Daniel L Kachelmyer Physician Assistant Lakeway Dermatology Associates PC 112 W Broadway Blvd, Jefferson City, TN 37760-1942
Vita L Mayes Physician Assistant Lakeway Dermatology Associates PC 112 W Broadway Blvd, Jefferson City, TN 37760-1942
Conrad L Brimhall Dermatology Lakeway Dermatology Associates PC 112 W Broadway Blvd, Jefferson City, TN 37760-1942
Charles S Fulk Dermatology Lakeway Dermatology Associates PC 112 W Broadway Blvd, Jefferson City, TN 37760-1942
Ann E Ayres Physician Assistant Lakeway Dermatology Associates PC 112 W Broadway Blvd, Jefferson City, TN 37760-1942
Richard Jeffrey Munson Psychologist, Clinical 104 W Old Andrew Johnson Hwy, Suite B, Jefferson City, TN 37760-1949
William J Williams Internal Medicine 1526 Meadow Spring Dr, Jefferson City, TN 37760-2041
Robert A Matijevich Physical Therapy 1405 S Sizer Ave, B, Jefferson City, TN 37760-2436
Dennis U Spjut Psychologist, Clinical 732 E Jefferson St, Jefferson City, TN 37760-2514
Annita J Rowland Nurse Practitioner Express Health Clinic Corporation 153 E Broadway Blvd, Jefferson City, TN 37760-2517
Find all physicians in zip 37760

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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