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

Edward Gradman

Individual provider Registered Nurse · NPI 1366830432

Edward Gradman is a Certified Registered Nurse Anesthetist (CRNA) in Ada, Oklahoma. Graduated from Rush Medical College of Rush University in 2014, 12 years ago. Practices with Memorial Medical Center, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

430 N Monte Vista St
Ada, OK 74820-4610
Phone: (580) 332-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209012356 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041368366 (IL)

Record details

NPI number1366830432
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 24, 2014
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address1710 W 3rd St Ste 100, Elk City, OK 73644-5160

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2014 (12 years in practice)
Group practice Memorial Medical Center — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ada