Active NPI
Patrick Stocker, MSN CRNA
- Certified Registered Nurse Anesthetist
- Ashtabula, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN311893
- Practice address
- 2420 Lake Road
Ashtabula, OH 44004-0002 - Phone
- (440) 997-2262
- NPI assigned
- May 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 311893 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | RN311893 | OH | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN593061 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | COA10696NA | OH |
Addresses
Primary practice location
2420 Lake Road
Ashtabula, OH 44004-0002
Mailing address
4343 Brooks Rd
Ashtabula, OH 44004-8692
Phone (440) 813-3225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
158 W Main Rd
Conneaut, OH 44030-2039
Hospital & facility affiliations
- Lake Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311893 | OH | MD | Registered Nurse |
| COA10696NA | OH | MD | Certified Registered Nurse Anesthetist |
| RN311893 | OH | MD | Certified Registered Nurse Anesthetist |
| RN593061 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Safe Anesthesia Chardon LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| The Gastroenterology Clinic & Endoscopy Center Inc | Current | Accepting new patients | |
| Ambulatory Anesthesia Services, LLC | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Safe Anesthesia Geneva LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
150 7th Ave
Chardon, OH 44024
Phone (440) 285-2900
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
1622 E Market St
Warren, OH 44483
Phone (330) 399-7215
6025 Commerce Cir
Ste 2
Willoughby, OH 44094
Phone (440) 585-2750
949 N Hermitage Rd
Hermitage, PA 16148
Phone (330) 399-7215
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Anesthesiology Physician
- Willoughby, OH
- NPI 1922270495
-
- Certified Registered Nurse Anesthetist
- Chardon, OH
- NPI 1740599976
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Geneva, OH
- NPI 1821327636
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Warren, OH
- NPI 1952497117
PA
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Orthopaedic Surgery Physician
- Sheffield Village, OH
- NPI 1114054384
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1386802650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 BROOKS RD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440048692",
"telephone_number": "440-813-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 LAKE ROAD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440040002",
"telephone_number": "440-997-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKER",
"first_name": "PATRICK",
"credential": "MSN CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-23",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "311893",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN311893",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN593061",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA10696NA",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.