Active NPI
Gary Lynn Eddy, CRNA
- Certified Registered Nurse Anesthetist
- Ashland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 30042432
- Practice address
- 2201 Lexington Ave
Ashland, KY 41101-2843 - Phone
- (606) 408-4000
- NPI assigned
- Mar 21, 2006
- Last updated
- Dec 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN59696-CRNA | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | 4232A | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 30042432 | KY | Primary |
Addresses
Primary practice location
2201 Lexington Ave
Ashland, KY 41101-2843
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000822 | Medicaid | WV | |
| 2497696 | Medicaid | OH | |
| 000000332142 | Other | KY | ANTHEM BLUE CROSS BLUE SHIELD |
| 74011495 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, WV, OH
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.64 of 100
- Quality
- 56.63
- Improvement activities
- 40
- Cost
- 74.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.04 of 100
- Quality
- 60.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.59 of 100
- Quality
- 59.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30042432 | KY | MD | Certified Registered Nurse Anesthetist |
| 4232A | KY | MD | Certified Registered Nurse Anesthetist |
| APRN59696-CRNA | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| River Cities Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Claire Medical Center, Inc., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of West Virginia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Environ Anesthesia, LLC. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Claire Medical Center Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sleepers Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Day Surgery Limited Liability | Past | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
236 W Main St
Ste 200
Danville, KY 40422
Phone (859) 238-7746
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
279 Kings Daughters Dr
Ste 301
Frankfort, KY 40601
Phone (502) 227-2229
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911
5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222
1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1831438092
Nurse Anesthetist, Certified Registered
-
dba Kings Daughters Medical Specialities ENT
- Otolaryngology Physician
- Ashland, KY
- NPI 1497083539
OH
-
dba Kings Daughters Medical Specialities Physical Medicine and Rehab
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
dba St Claire Regional Medical Center
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1821448150
Nurse Anesthetist, Certified Registered, WV
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1699845164
Nurse Anesthetist, Certified Registered, OH
-
- Anesthesiology Physician
- Ashland, KY
- NPI 1578946596
-
dba Kings Daughters Medical Specialties Anesthesia
- Anesthesiology Physician
- Ashland, KY
- NPI 1801144852
Nurse Anesthetist, Certified Registered
-
dba St Claire Healthcare Urgent Care
- Rural Health Clinic/Center
- Morehead, KY
- NPI 1477236487
-
dba dba St. Claire Regional Anesthesia Professionals
- Anesthesiology Physician
- Morehead, KY
- NPI 1932383833
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1508825324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2379",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411052379",
"telephone_number": "606-408-6200",
"fax_number": "606-408-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 LEXINGTON AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012843",
"telephone_number": "606-408-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "GARY",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "APRN59696-CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "4232A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "30042432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000822",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2497696",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "000000332142",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74011495",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
- Eastern Kentucky Anesthesiologist Associates, PLLC
- Eastern Kentucky Cardiology
- Eastern Kentucky Specialties, LLC (Elite Counseling & Psychotherapy)
- Gregory Eastham, MD
- Crystal Dawn Eastridge, RN, MSN, FNP-BC
- Taylor Jordan Eden, CSA
- Mary E Edgecomb, D.O.
- Basel Edris, MD
- Marianne Edwards, APRN
- James W. Egel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.