Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roman Davidyuk

Individual provider Certified Registered Nurse Anesthetist · NPI 1861173056

Roman Davidyuk is a Certified Registered Nurse Anesthetist (CRNA) in Springfield, Missouri. Qualified in 2024, 2 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2023
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Practice location Address checks out

1235 E Cherokee St
Springfield, MO 65804-2203
Phone: (417) 820-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2024019263 (MO)

Record details

NPI number1861173056
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Springfield