Mr. Gary Steven Yewdall Sr.
Nurse Anesthetist, Certified Registered

Address: One Elliot Way Suite 200, Amoskeag Anesthesia Assoc, Manchester, NH 03103
Phone: 6036632315

Mr. Gary Steven Yewdall Sr. (NPI# 1154488708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1154488708
Entity Type Individual
Full Name Mr. Gary Steven Yewdall Sr.
Credential CRNA
Gender Male
Practice Address One Elliot Way Suite 200
Amoskeag Anesthesia Assoc
Manchester
NH 03103
Practice Telephone 6036632315
Mailing Address 16 Manning St
Apt 315
Derry
NH 03038
Mailing Telephone 6034903777
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-01-02
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers 0502662311 NH

Physician Overview

NPI 1154488708
PAC ID by PECOS 5799786026
Professional Enrollment ID I20070129000581
Full Name Gary Steven Yewdall
Organization Legal Name AMOSKEAG ANESTHESIA PLLC
Phone Number 6036695300
Gender M
Graduation Year 2006
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST
Group Practice PAC ID 1759375983
Number of Group Practice Members 46
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
300012 ELLIOT HOSPITAL

Office Location

Street Address ONE ELLIOT WAY SUITE 200
AMOSKEAG ANESTHESIA ASSOC
City MANCHESTER
State NH
Zip Code 03103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023583374 Melissa K Bascom Social Worker C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 2018-10-12
1538650650 Bluestone Healthcare Services L.l.c. Physician Assistant Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 2018-05-24
1538662424 Minal Jamkhande Pharmacist 50 S Willow Street, Manchester, NH 03103 2018-03-16
1447776240 Manchester Health Supplies Durable Medical Equipment & Medical Supplies 373 S Willow Street, #328, Manchester, NH 03103 2017-08-14
1184145898 Susan E Herman Physical Therapist 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 2017-07-03
1316476757 Sara Rose Hanrahan Occupational Therapist 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 2017-06-08
1457802811 Holly Ann Cekala Counselor 140 Central St, Manchester, NH 03103 2016-10-20
1972987006 Families In Transition Counselor 177 Lake Ave, Manchester, NH 03103 2015-07-18
1114301249 Families In Transition Counselor 282 Belmont St, Manchester, NH 03103 2015-07-18
1083092282 Alexander Michael Jones Family Medicine 4 Elliot Way Ste 105, Manchester, NH 03103 2015-05-08
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518438530 Kevin William Abbate Nurse Anesthetist, Certified Registered 71 Haynes St, Manchester, CT 06040-4131 2018-12-17
1770950099 Philip Hernandez Nurse Anesthetist, Certified Registered 240 Old Cohas Ave, Manchester, NH 03109-4839 2015-08-24
1659626836 Steven Allen Miller Nurse Anesthetist, Certified Registered 88 Mcgregor St Ste 303, Manchester, NH 03102 2012-07-13
1285800110 Jacqueline G. Hancock, Crna, Pa Nurse Anesthetist, Certified Registered 3245 Farm Ln, Manchester, MD 21102-1780 2008-04-30
1861661621 Susanne Cramer Nurse Anesthetist, Certified Registered 87 Mcgregor St Ste 1400, Manchester, NH 03102-3731 2008-02-26
1942404199 Dixie C Dorman Nurse Anesthetist, Certified Registered 1780 River Rd, Manchester, GA 31816-6100 2007-06-12
1376657270 Johnny Michael Mccormick Nurse Anesthetist, Certified Registered 1001 Mcarthur Street, United Regional Medical Center, Manchester, TN 37355 2006-08-18
1689617334 Susan R St. John Nurse Anesthetist, Certified Registered 787 D Sain Rd, Manchester, TN 37355-3940 2006-06-13
1619949179 Elisabeth L Senkler Nurse Anesthetist, Certified Registered Catholic Medical Center, 100 Mcgregor St., Manchester, NH 03102 2006-02-07
1336131457 Martha Hart Nurse Anesthetist, Certified Registered 88 Mcgregor St 303, Manchester, NH 03102-3734 2005-08-16
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City MANCHESTER
Zip Code 03103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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