| Jorden J Gary, CRNA | |
|
2811 Tieton Dr, Yakima, WA 98902-3761 | |
| (509) 575-8000 | |
| Not Available |
| Full Name | Jorden J Gary |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 2811 Tieton Dr, Yakima, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851968739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1072188 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP61183586 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Christus Mother Frances Hospital- Jacksonville | Jacksonville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Iii Pa | 0042630501 | 347 |
| Mother Frances Hospital Jacksonville | 5597751024 | 25 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Northstar Anesthesia Iii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorden J Gary, CRNA 736 N 2850 W, Hurricane, UT 84737-1360 Ph: (435) 574-7827 | Jorden J Gary, CRNA 2811 Tieton Dr, Yakima, WA 98902-3761 Ph: (509) 575-8000 |
Paul E Novak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Ste 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Stephanie L Lounsbury-griffin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 406 S 30th Ave, Suite 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Kevin A Leach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406s 30th Ave 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Kaitlyn Elizabeth Knoebel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 | |
Blake T Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Suite 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
James E Gelatt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 406 S 30th Ave, Ste 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Hollie I Crawford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 S 9th Ave, Yakima, WA 98902 Phone: 509-574-4455 Fax: 509-574-4481 |