Individual provider Active NPI

Gary Steven Yewdall Sr., CRNA

  • Certified Registered Nurse Anesthetist
  • Concord, NH
National Provider Identifier
1154488708
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
050266-23 Issued in NH
Practice address
264 Pleasant St
Concord, NH 03301-2551
Phone
(603) 224-3368
Fax
(603) 228-7268
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 050266-23 NH Primary

Addresses

Primary practice location

264 Pleasant St
Concord, NH 03301-2551

Mailing address

264 Pleasant St
Concord, NH 03301-2551
Phone (603) 224-3368

Other practice location 1

One Elliot Way Suite 200
Amoskeag Anesthesia Assoc
Manchester, NH 03103
Phone (603) 663-2315

Other practice location 2

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000581 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799786026 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 663-2431

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050266-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Orthopaedics Professional Association CurrentSince Aug 30, 2024 Accepting new patients
Concord Orthopaedics Professional Association Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2024 Accepting new patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 11, 2007 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Sep 1, 2024 Accepting new patients
Anesthesia Associates Professional Association Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2016 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 1, 2023 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

4 Hawthorne Dr
Bedford, NH 03110
Phone (603) 472-8888

166 S River Rd
Ste 125
Bedford, NH 03110

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

264 Pleasant St
Concord, NH 03301

57 Regional Dr
Ste 1
Concord, NH 03301

1 Pillsbury St
Ste 202
Concord, NH 03301
Phone (603) 224-4776

6 Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 426-5222

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

1 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 623-4640

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

23 Keewaydin Dr
Ste 100
Salem, NH 03079
Phone (603) 386-0272

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1154488708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012551",
            "telephone_number": "603-224-3368",
            "fax_number": "603-228-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012551",
            "telephone_number": "603-224-3368",
            "fax_number": "603-228-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Elliot Way Suite 200",
            "address_2": "Amoskeag Anesthesia Assoc",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "03103",
            "country_code": "US",
            "telephone_number": "603-663-2315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hitchcock Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031044125",
            "country_code": "US",
            "telephone_number": "603-695-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEWDALL",
        "first_name": "GARY",
        "middle_name": "STEVEN",
        "name_suffix": "Sr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "050266-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.