Provider Demographics
NPI:1851315089
Name:PATTERSON, KAREN M (CRNA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:MERK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:P.O. BOX 790309
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63179-0058
Mailing Address - Country:US
Mailing Address - Phone:636-549-2380
Mailing Address - Fax:314-569-5974
Practice Address - Street 1:5319 HOAG DR.
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-1494
Practice Address - Country:US
Practice Address - Phone:440-930-6050
Practice Address - Fax:440-934-8882
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00682367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH430031424OtherRAILROAD MEDICARE
OH000000516003OtherANTHEM
OH000000221184OtherUNISON
OH0951171Medicaid
OH7574912OtherAETNA
OH0583328OtherBCMH
OH750946OtherBUCKEYE MEDICAID
OHP00403007OtherMEDICARE RAILROAD
OH415020OtherWELLCARE MEDICAID
OH000000516003OtherANTHEM
OH7574912OtherAETNA
OHPA8239351Medicare PIN