Individual provider Active NPI

Gary Lynn Eddy, CRNA

  • Certified Registered Nurse Anesthetist
  • Ashland, KY
National Provider Identifier
1508825324
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
30042432 Issued in KY
Practice address
2201 Lexington Ave
Ashland, KY 41101-2843
Phone
(606) 408-4000
NPI assigned
Mar 21, 2006
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3810000822MedicaidWV
2497696MedicaidOH
000000332142OtherKYANTHEM BLUE CROSS BLUE SHIELD
74011495MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040901000691 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951384544 Reassigns benefits to 5 organizations
I20131024001875 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951384544 Reassigns benefits to 2 organizations
I20190109003297 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951384544 Reassigns benefits to 3 organizations

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 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
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

LicenseStateTypeSpecialty
30042432KYMDCertified Registered Nurse Anesthetist
4232AKYMDCertified Registered Nurse Anesthetist
APRN59696-CRNAWVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Sep 3, 2021 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Dec 27, 2023 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
St Claire Medical Center, Inc CurrentSince Nov 26, 2018 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Somc Medical Care Foundation, Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 27, 2023 Accepting new patients
River Cities Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 18, 2018 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc., Nurse Anesthetist, Certified Registered CurrentSince Sep 3, 2021 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 CurrentSince Jun 27, 2018 Accepting new patients
Environ Anesthesia, LLC. Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2015 Accepting new patients
St. Claire Medical Center Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 26, 2018 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2018 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.

View all 17

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": "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

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.

Verify at the official NPI Registry.