Active NPI
Anthony Joseph Danna, PA-C
- Physician Assistant
- Everett, MA
National Provider Identifier
1134426133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA4164
- Practice address
- 103 Garland St Emergency Department
Everett, MA 02149-5066 - Phone
- (617) 381-5060
- NPI assigned
- Feb 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00582 | RI | |
| Physician Assistant | 363A00000X | PA4164 | MA | Primary |
Addresses
Primary practice location
103 Garland St Emergency Department
Everett, MA 02149-5066
Mailing address
1493 Cambridge St Cambridge Health Alliance
Emergency Department
Cambridge, MA 02139-1047
Phone (617) 665-2113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA4164 | MA | MD | Physician Assistant |
| PA00582 | RI | MD | Physician Assistant |
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.
-
- Emergency Medicine Physician
- Newton, MA
- NPI 1346355526
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1134426133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1493 CAMBRIDGE ST CAMBRIDGE HEALTH ALLIANCE",
"address_2": "EMERGENCY DEPARTMENT",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391047",
"telephone_number": "617-665-2113",
"fax_number": "617-665-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GARLAND ST EMERGENCY DEPARTMENT",
"city": "EVERETT",
"state": "MA",
"postal_code": "021495066",
"telephone_number": "617-381-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANNA",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-28",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00582",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA4164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.