Individual provider Active NPI

Frederick R Stockton, MD

  • Interventional Cardiology Physician
  • Toledo, OH
National Provider Identifier
1598769416
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35072291S Issued in OH
Practice address
2940 N McCord Rd
Toledo, OH 43615-1753
Phone
(419) 842-3094
Fax
(419) 842-3048
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35072291S OH
Cardiovascular Disease Physician 207RC0000X 4301055113 MI
Interventional Cardiology Physician 207RI0011X 4301055113 MI
Interventional Cardiology Physician 207RI0011X 35072291S OH Primary

Addresses

Primary practice location

2940 N McCord Rd
Toledo, OH 43615-1753

Mailing address

1 Seagate Ste 800
Toledo, OH 43604-1558
Phone (419) 842-3000

Other identifiers 2

IdentifierTypeStateIssuer
2032857MedicaidOH
P00711898OtherRRMC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fstockton13533@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031231000007 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5597663385 Reassigns benefits to 2 organizations
I20050128000476 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5597663385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000

615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131

Hospital & facility affiliations

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35072291SOHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince Mar 1, 2009 Accepting new patients
The Toledo Hospital CurrentSince Jul 1, 1997 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
The Toledo Hospital Current Accepting new patients
The Toledo Hospital CurrentSince Jul 1, 1997 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince Mar 1, 2009 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Northwest Ohio Cardiology Consultants- PC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

770 Riverside Ave
Ste 106
Adrian, MI 49221
Phone (517) 266-0525

730 N Macomb St
Ste 429A
Monroe, MI 48162

500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525

501 Van Buren St
Fl Second
Fostoria, OH 44830
Phone (419) 435-7734

715 S Taft Ave
Ste 1
Fremont, OH 43420

715 S Taft Ave
Ste 195
Fremont, OH 43420
Phone (419) 333-9533

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

5705 Monclova Rd
Ste 204
Maumee, OH 43537
Phone (419) 879-7611

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

2940 N McCord Rd
Toledo, OH 43615
Phone (419) 842-3000

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Interoperability endpoints

  • Direct secure messaging: fstockton13533@direct.promedica.org

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1598769416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE STE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "419-842-3000",
            "fax_number": "419-291-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N MCCORD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151753",
            "telephone_number": "419-842-3094",
            "fax_number": "419-842-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "FREDERICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35072291S",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301055113",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301055113",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35072291S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032857",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00711898",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fstockton13533@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.