Active NPI
Paul J Angelo, CRNA
- Certified Registered Nurse Anesthetist
- Fall River, MA
National Provider Identifier
1154328912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 129330
- Practice address
- 363 Highland Ave
Fall River, MA 02720-3703 - Phone
- (508) 679-3131
- Fax
- (508) 679-7146
- NPI assigned
- Jul 7, 2005
- 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 | 129330 | MA | Primary |
Addresses
Primary practice location
363 Highland Ave
Fall River, MA 02720-3703
Mailing address
340 Main St
Ste. 670
Worcester, MA 01608-1604
Phone (508) 754-3566
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129330 | MA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1154328912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MAIN ST",
"address_2": "STE. 670",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081604",
"telephone_number": "508-754-3566",
"fax_number": "508-798-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 HIGHLAND AVE",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027203703",
"telephone_number": "508-679-3131",
"fax_number": "508-679-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELO",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "129330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.