Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cheyenne Kidder

Individual provider Anesthesiology Physician · NPI 1053940718

Cheyenne Kidder is an Anesthesiology in Erie, Pennsylvania. Qualified in 2021, 5 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2020
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Practice location Address checks out

232 W 25th St
Erie, PA 16544-1420
Phone: (413) 794-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 196 Merrick Rd, Oceanside, NY 11572-1420 — (765) 720-5943

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD485891 (PA)

Record details

NPI number1053940718
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 5, 2020
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024
Mailing address232 W 25th St, Erie, PA 16544-0002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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