Daniel Tyler Harris (NPI# 1730572850, PAC ID# 9638498918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1730572850 |
| PAC ID by PECOS | 9638498918 |
| Professional Enrollment ID | I20150508000124 |
| Full Name | Daniel Tyler Harris |
| Organization Legal Name | MEADOWS ANESTHESIA LLC |
| Address |
1 Meadows Pkwy Vidalia GA 30474-8759 |
| Phone Number | 9125385359 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5092025189 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 9125385359 | MEADOWS ANESTHESIA LLC |
| Organization Legal Name | MEADOWS ANESTHESIA LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah F Campbell | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Frank Gibase | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Shannon L Staten | Certified Registered Nurse Anesthetist (crna) | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Laila Mozdab | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Damon K Jessup | Certified Registered Nurse Anesthetist (crna) | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Stacie L Wong | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Timothy Roose | Certified Registered Nurse Anesthetist (crna) | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Ann Chalker | Certified Registered Nurse Anesthetist (crna) | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Annette C Smith | Certified Registered Nurse Anesthetist | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Street Address |
1 MEADOWS PKWY |
| City | VIDALIA |
| State | GA |
| Zip | 30474-8759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Evelyn Kemp | Nurse Practitioner | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Hunter Dennard Richman | Physician Assistant | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Brick S Acosta | Internal Medicine | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Henry D Cline | Radiation Oncology | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Sarah F Campbell | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Charles A Gordon | Internal Medicine | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Alejandro Garcia-hernandez | Hematology/oncology | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Jeffrey David Stevens | Diagnostic Radiology | South Georgia Radiology Associates LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Frank Gibase | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Stephen G Tiley | Hematology/oncology | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Casey Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Karen Pamela Mcneely | Nurse Practitioner | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| David H Paine | Internal Medicine | 1006 A Mt Vernon Rd, Vidalia, GA 30474 | |
| Walter J Revell Jr. | General Surgery | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Archie J Champion | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Letty Revell Peterson | Dermatology | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Charles M Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Richard M Proenza | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Paul J Giles | Cardiovascular Disease (cardiology) | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Robert Andrew Bell | Nurse Practitioner | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Find all physicians in zip 30474 | |||
| City | VIDALIA |
| Zip Code | 30474 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | VIDALIA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Daniel Tyler Harris.
| 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.