Active NPI
Brent J Stover, CRNA
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN328697
- Practice address
- 375 Dixmyth Ave
Cincinnati, OH 45220-2475 - Phone
- (513) 872-2432
- Fax
- (513) 872-8857
- NPI assigned
- Oct 27, 2006
- 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 | RN328697 | OH | Primary |
Addresses
Primary practice location
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Mailing address
PO Box 640738
Cincinnati, OH 45264-0701
Phone (937) 293-0247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1158 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 863-6444
236 W Main St
Suite 200
Danville, KY 40422-1876
Phone (859) 238-7746
6413 Thornberry CT
Suite a
Mason, OH 45040-7822
Phone (513) 770-0787
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN328697 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Anesthesia Specialists | Current | Accepting new patients | |
| Environ Anesthesia, LLC. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sleepers Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
236 W Main St
Ste 200
Danville, KY 40422
Phone (859) 238-7746
949 National Ave
Ste 151
Lexington, KY 40502
Phone (859) 509-8399
6413 Thornberry Ct
Ste A
Mason, OH 45040
Phone (513) 770-0787
2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400
4700 Smith Rd
Norwood, OH 45212
Phone (513) 366-3400
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.
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1831438092
Nurse Anesthetist, Certified Registered, OH
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1891976643
-
- Certified Registered Nurse Anesthetist
- Danville, KY
- NPI 1699225631
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962587758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640738",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452640701",
"telephone_number": "937-293-0247",
"fax_number": "937-293-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 DIXMYTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-872-2432",
"fax_number": "513-872-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "BRENT",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN328697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, 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.
- 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.