Active NPI
Adam Patrick
- Certified Registered Nurse Anesthetist
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 664322
- Practice address
- 4800 Friendship Ave
Pittsburgh, PA 15224-1722 - Phone
- (412) 578-5323
- Fax
- (412) 605-6425
- NPI assigned
- Jun 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 664322 | PA | Primary |
Addresses
Primary practice location
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Mailing address
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 578-5323
Other practice location 1
200 Lothrop St Dept Of
Pittsburgh, PA 15213
Phone (412) 647-2345
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apatrick71671@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14850 Quorum Dr
Suite 400
Dallas, TX 75254-1445
Phone (469) 437-3564
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111
5609 Deauville
Midland, TX 79706-2870
Phone (432) 699-4224
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 664322 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grasshopper Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valiant Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Sound Physicians Anesthesiology of Texas PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Medical Group of the Permian Basin, LLP | Anesthesiology | Current | Accepting new patients |
Locations
14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
5609 Deauville
Midland, TX 79706
Phone (432) 697-3629
3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Midland, TX
- NPI 1669596672
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1588906812
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1932635752
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Southlake Medical Center
- General Acute Care Hospital
- Southlake, TX
- NPI 1568818417
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
-
dba Baylor Scott & White Medical Center - Trophy Club
- General Acute Care Hospital
- Trophy Club, TX
- NPI 1982609558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1417441536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-578-5323",
"fax_number": "412-605-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-578-5323",
"fax_number": "412-605-6425"
}
],
"practiceLocations": [
{
"address_1": "200 Lothrop St Dept Of",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "15213",
"country_code": "US",
"telephone_number": "412-647-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATRICK",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-21",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "664322",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apatrick71671@direct.ahn.org",
"affiliation": "N",
"address_1": "4800 Friendship Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152241722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.