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

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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