Active NPI
George D Kendall, CRNA, MSN
- Certified Registered Nurse Anesthetist
- Bedford, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28200961
- Practice address
- 2900 W 16TH Street
Bedford, IN 47421-3510 - Phone
- (812) 275-1200
- Fax
- (812) 275-1212
- NPI assigned
- Aug 25, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN-240448 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 28200961 | IN | Primary |
Addresses
Primary practice location
2900 W 16TH Street
Bedford, IN 47421-3510
Mailing address
PO Box 12
Bedford, IN 47421-3510
Phone (740) 380-8068
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28200961 | Other | IN | RN |
| 2397973 | Medicaid | OH |
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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
610 W Main St
Wilmington, OH 45177-2125
Phone (937) 382-6611
Hospital & facility affiliations
- Wayne Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47609 | TX | MD | Pharmacist |
| RN-240448 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists of Fort Wayne PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hocking Valley Medical Group, Inc. | Current | Accepting new patients | |
| Anesthesia Providers of East Texas, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anderson County Anesthesia Associates, PA | Past | Accepting new patients |
Locations
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000
819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140
Interoperability endpoints
- gkendall@yourcarecommunity.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Kettering, OH
- NPI 1689627739
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
Nurse Anesthetist, Certified Registered, OH
-
- Family Medicine Physician
- Logan, OH
- NPI 1801994827
-
- Anesthesiology Physician
- Palestine, TX
- NPI 1699763557
-
- Certified Registered Nurse Anesthetist
- Palestine, TX
- NPI 1063400075
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Greenville, OH
- NPI 1184621161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1881687705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213510",
"telephone_number": "740-380-8068",
"fax_number": "740-380-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W 16TH STREET",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213510",
"telephone_number": "812-275-1200",
"fax_number": "812-275-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDALL",
"first_name": "GEORGE",
"middle_name": "D",
"credential": "CRNA, MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN-240448",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28200961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "28200961",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2397973",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.