Deraad, Gary A

Deraad, Gary A is an individual health care provider with primary practice located at 800 Rose St , Lexington KY 40536-7001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Deraad, Gary A can be contacted via phone (859) 323-5956.

Contact Information

Primary practice address
800 Rose St Lexington KY 40536-7001
Phone: (859) 323-5956
Fax: (859) 323-1080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN 279724 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3004238 Kentucky

Profile Details

NPI number 1851393623
LBN Legal business name Deraad, Gary A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jun 5th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851393623 NPPES
Other P00619434 RRMC
Other 000000556304 RRMC
Other 341881145-003 RRMC
Other 04097A RRMC
MEDICAID 5182096 RRMC
MEDICAID 74007279 RRMC

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