Andrea K Bonnell (NPI# 1003248857, PAC ID# 2860628377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1003248857 |
| PAC ID by PECOS | 2860628377 |
| Professional Enrollment ID | I20131111001129 |
| Full Name | Andrea K Bonnell |
| Organization Legal Name | LAKEWAY REGIONAL ANESTHESIA SERVICES |
| Address |
110 Hospital Dr Jefferson City TN 37760-5281 |
| Phone Number | 4235226004 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5294755229 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440056 | TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 110 Hospital Dr, Jefferson City, TN 37760-5281 | 4235226004 | LAKEWAY REGIONAL ANESTHESIA SERVICES |
| 11440 Parkside Dr, Suite 100, Knoxville, TN 37934-2658 | 8655885121 | KNOXVILLE GASTROENTEROLOGY ANESTHESIA ASSOCIATES, LLC |
| 801 N Weisgarber Rd, Suite 100, Knoxville, TN 37909-2707 | 8655885121 | KNOXVILLE GASTROENTEROLOGY ANESTHESIA ASSOCIATES, LLC |
| Organization Legal Name | LAKEWAY REGIONAL ANESTHESIA SERVICES |
| Physicians | 6 |
| 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 |
| Don Quilliams | Certified Registered Nurse Anesthetist (crna) | Lakeway Regional Anesthesia Services | 110 Hospital Dr, Jefferson City, TN 37760-5281 |
| Teddy H Davis | 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 |
| Street Address |
110 HOSPITAL DR |
| City | JEFFERSON CITY |
| State | TN |
| Zip | 37760-5281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Mills | 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 |
| Don Quilliams | Certified Registered Nurse Anesthetist (crna) | Lakeway Regional Anesthesia Services | 110 Hospital Dr, Jefferson City, TN 37760-5281 |
| Find all physicians in the same address | |||
| 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 | |||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JEFFERSON CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.