Individual provider Active NPI

Anna E. Petropoulos, M.D., F.R.C.S.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Danvers, MA
National Provider Identifier
1083606016
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
154747 Issued in MA
Practice address
80 Lindall St
Danvers, MA 01923-2135
Phone
(978) 739-9500
Fax
(978) 739-9502
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 154747 MA Primary

Addresses

Primary practice location

80 Lindall St
Danvers, MA 01923-2135

Mailing address

80 Lindall St
Danvers, MA 01923-2135
Phone (978) 739-9500

Other identifiers 1

IdentifierTypeStateIssuer
19916OtherMAHARVARD PILGRIM

Other names 1

  • Dr. Anna Petropoulos Weissleder Other 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
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: anna.petropoulos.weissleder.1@3045.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083606016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LINDALL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232135",
            "telephone_number": "978-739-9500",
            "fax_number": "978-739-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LINDALL ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232135",
            "telephone_number": "978-739-9500",
            "fax_number": "978-739-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROPOULOS",
        "first_name": "ANNA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D., F.R.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MA",
            "license": "154747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "19916",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "WEISSLEDER",
            "middle_name": "PETROPOULOS",
            "prefix": "DR.",
            "credential": "M.D., F.R.C.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.