Organization Active NPI

Lowell Anesthesia Associates PLLC

Doing business as Lowell Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Lowell, MA
National Provider Identifier
1063938934
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
LOWELL ANESTHESIA ASSOCIATES PLLC
Doing business as
Lowell Anesthesia Associates
Practice address
59 Lowes Way
Lowell, MA 01851-5018
Phone
(617) 733-4166
Fax
(617) 349-2151
NPI assigned
Aug 22, 2017
Last updated
Aug 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
Clint Cromwell
Title
VP
Phone
(615) 665-1238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

59 Lowes Way
Lowell, MA 01851-5018

Mailing address

1A Burton Hills Blvd
Nashville, TN 37215-6187
Phone (615) 922-6102

Other names 1

  • Lowell Anesthesia Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171101001318 MA Part B Supplier - Clinic/Group Practice 1951677228 Receives reassigned benefits from 60 practitioners
Practice locations: Lowell, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1063938934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-922-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LOWES WAY",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018515018",
            "telephone_number": "617-733-4166",
            "fax_number": "617-349-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL ANESTHESIA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "CROMWELL",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-665-1238"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowell Anesthesia Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.