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

Tanner S Withrow

Individual provider Certified Registered Nurse Anesthetist · NPI 1861122681

Tanner S Withrow is a Certified Registered Nurse Anesthetist (CRNA) in Bowling Green, Kentucky. Qualified in 2023, 3 years ago. Practices with Commonwealth Health Corporation, Inc, a 263-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2022

Practice location Address checks out

250 Park St
Bowling Green, KY 42101-1760
Phone: (270) 745-1111
Fax: (270) 745-1026
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 4005514 (KY)

Record details

NPI number1861122681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing addressPo Box 2697, Bowling Green, KY 42102-7697

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Commonwealth Health Corporation, Inc. — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green