Active NPI
Gary Eddie Vesely, CRNA
- Certified Registered Nurse Anesthetist
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1813
- Practice address
- 10541 W Thunderbird Blvd
Sun City, AZ 85351-3006 - Phone
- (865) 777-0909
- Fax
- (865) 777-0910
- NPI assigned
- Oct 12, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA0010 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | 034999 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | 1813 | CA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN075834 | AZ |
Addresses
Primary practice location
10541 W Thunderbird Blvd
Sun City, AZ 85351-3006
Mailing address
12752 Kingston Pike
Ste E202
Knoxville, TN 37934-0948
Phone (865) 777-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144923 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1430 Columbus Ave
Washington Court House, OH 43160-1703
Phone (740) 335-1210
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.93 of 100
- Quality
- 64.42
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034999 | AZ | MD | Certified Registered Nurse Anesthetist |
| RN075834 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesia Highlands Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Adena Medical Group LLC | Current | Accepting new patients | |
| Resource Anesthesia Lakeway, Inc. | Past | Accepting new patients | |
| Care for Kids of Arizona | Past | Accepting new patients | |
| Squaw Peak Anesthesia Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Squaw Peak Anesthesia Inc | Past | Accepting new patients |
Locations
4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705
12752 Kingston Pike
Ste E202
Knoxville, TN 37934
Phone (877) 277-9030
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1518056134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12752 KINGSTON PIKE",
"address_2": "STE E202",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379340948",
"telephone_number": "865-777-0909",
"fax_number": "865-777-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10541 W THUNDERBIRD BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513006",
"telephone_number": "865-777-0909",
"fax_number": "865-777-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESELY",
"first_name": "GARY",
"middle_name": "EDDIE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "CRNA0010",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "034999",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "1813",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "RN075834",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144923",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.