Individual provider Active NPI

Joanne Maryjane Gross, CRNA

  • Registered Nurse
  • Stow, OH
National Provider Identifier
1639370687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.111843 Issued in OH
Practice address
4651 Graford LN
Stow, OH 44224-2020
Phone
(330) 678-7650
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.111843 OH Primary

Addresses

Primary practice location

4651 Graford LN
Stow, OH 44224-2020

Mailing address

PO Box 1538
4651 Graford Lane
Stow, OH 44224-0538
Phone (330) 678-7650

Other identifiers 1

IdentifierTypeStateIssuer
RN.111843OtherOHRN LICENSE -COA1

Other names 1

  • Joanne Maryjane Toth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.111843OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
Lexington Anesthesia Associates, Inc. Past Accepting new patients
Blair County Anesthesia, P.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639370687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1538",
            "address_2": "4651 GRAFORD LANE",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442240538",
            "telephone_number": "330-678-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 GRAFORD LN",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242020",
            "telephone_number": "330-678-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JOANNE",
        "middle_name": "MARYJANE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.111843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE -COA1",
            "identifier": "RN.111843",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "TOTH",
            "middle_name": "MARYJANE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.