Michelle A Davenport (NPI# 1407887334, PAC ID# 6507851466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1407887334 |
| PAC ID by PECOS | 6507851466 |
| Professional Enrollment ID | I20040419001440 |
| Full Name | Michelle A Davenport |
| Organization Legal Name | PROFESSIONAL ANESTHESIA PROVIDERS, PC |
| Address |
1062 N Church St Hazleton Ambulatory Hazleton PA 18201 |
| Phone Number | 5704595102 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1992 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8729982533 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 490 Northhampton St, Gateway Suite 2, Edwardsville, PA 18704 | 5707186692 | PROFESSIONAL ANESTHESIA PROVIDERS, PC |
| 1062 N Church St, Hazleton Ambulatory, Hazleton, PA 18201 | 5704595102 | PROFESSIONAL ANESTHESIA PROVIDERS, PC |
| 423 3rd Ave, Kingston, PA 18704-5809 | 5703312040 | PROFESSIONAL ANESTHESIA PROVIDERS, PC |
| 451 3rd Ave, Kingston, PA 18704-5802 | 5702830528 | PROFESSIONAL ANESTHESIA PROVIDERS, PC |
| Organization Legal Name | PROFESSIONAL ANESTHESIA PROVIDERS, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Hostetler | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Providers, PC | 974 Kasko Rd, Shavertown, PA 18708-9776 |
| Leonard F Romanowski | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Providers, PC | 1062 N Church St, Hazleton Ambulatory, Hazleton, PA 18201 |
| Street Address |
1062 N CHURCH ST HAZLETON AMBULATORY |
| City | HAZLETON |
| State | PA |
| Zip | 18201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonard F Romanowski | Certified Registered Nurse Anesthetist (crna) | Professional Anesthesia Providers, PC | 1062 N Church St, Hazleton Ambulatory, Hazleton, PA 18201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Minaben D Patel | Internal Medicine | 851 Mcnair St, Hazleton, PA 18201-2275 | |
| Dilipkuma J Patel | Pulmonary Disease | 851 Mcnair St, Hazleton, PA 18201-2275 | |
| Anthony Urillo | Physical Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Thomas Plaza | Physical Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Tammy R Marushin | Occupational Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Ericka Mary Ondeck | Occupational Therapy | 1109 W 15th St, Hazleton, PA 18201-2616 | |
| Jeffrey R Platek | Physical Therapy | Modern Therapeutics Inc | 1109 W 15th St, Hazleton, PA 18201-2616 |
| Anthony R Griguoli | Chiropractic | 1109 W 15th St, Hazleton, PA 18201-2616 | |
| Frank M Scatton | Optometry | 940 W 15th St, Hazleton, PA 18201-2710 | |
| Thomas G Pollock | Otolaryngology | Ent Surgical Associates, P.C. | 668 N Church St, Suite 20, Hazleton, PA 18201-3188 |
| Find all physicians in zip 18201 | |||
| City | HAZLETON |
| Zip Code | 18201 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HAZLETON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Michelle A Davenport.
| 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.