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

Dr. Ethan J Belnap, DNAP

Individual provider Certified Registered Nurse Anesthetist · NPI 1174204846

Dr. Ethan J Belnap, DNAP is a Certified Registered Nurse Anesthetist (CRNA) in Dothan, Alabama. Qualified in 2024, 2 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2023

Practice location Address checks out

1308 Woodleigh Rd
Dothan, AL 36305-6354
Phone: (208) 431-7699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1-194255 (AL)

Record details

NPI number1174204846
Entity typeIndividual (Type 1)
GenderMale
Credentials DNAP
Sole proprietorYes
NPI enumeratedJuly 26, 2023
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

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 St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dothan