Individual provider Active NPI

Patrick Joseph Ginley IV, CRNA

  • Certified Registered Nurse Anesthetist
  • Concord Township, OH
National Provider Identifier
1174879878
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.13467 Issued in OH
Practice address
9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060-6521
Phone
(440) 205-1225
NPI assigned
Jul 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.13467 OH Primary

Addresses

Primary practice location

9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060-6521

Mailing address

38786 A T Hill PL
Willoughby, OH 44094-8835

Other practice location 1

14519 Detroit Ave
Lakewood, OH 44107-4316
Phone (216) 521-4200

Other practice location 2

6025 Commerce Cir
Willoughby, OH 44094-9694
Phone (440) 585-2750

Other identifiers 2

IdentifierTypeStateIssuer
1174879878MedicaidOH
0007237MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120912000604 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567610728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Gastroenterology, LLCGroup PAC ID 9537064407, 74 clinicians

Practice addresses (Care Compare)

9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060-6521
Phone (440) 205-1225

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Gastroenterology LLC CurrentSince Jan 23, 2024 Accepting new patients
Lake Erie Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2025 Accepting new patients
Clinic Physician Services Co. LLC Past Accepting new patients

Locations

Dayton Gastro Govt Ar Hc
New York, NY 10087

1299 Industrial Pkwy N
Ste 120
Brunswick, OH 44212
Phone (330) 225-6468

1299 Industrial Pkwy N
Brunswick, OH 44212
Phone (330) 225-6468

4360 Fulton Dr NW
Ste B
Canton, OH 44718
Phone (330) 305-2020

8185 Washington St
Ste 6
Chagrin Falls, OH 44023
Phone (440) 708-0582

9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060
Phone (440) 205-1225

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

1611 S Green Rd
Ste 120
South Euclid, OH 44121
Phone (440) 708-0582

Interoperability endpoints

  • FHIR API: https://5e3884cf-4770-450d-af77-2043acaa1ebe.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1174879878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38786 A T HILL PL",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 OLD JOHNNYCAKE RIDGE RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440606521",
            "telephone_number": "440-205-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14519 Detroit Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441074316",
            "country_code": "US",
            "telephone_number": "216-521-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6025 Commerce Cir",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440949694",
            "country_code": "US",
            "telephone_number": "440-585-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINLEY",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.13467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174879878",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007237",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.