Lisa M Chyka, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Boston, MA
NPI 1164597092 · NPPES record last updated Sep 23, 2013
Key facts
- NPI
- 1164597092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 203845 (MA)
- Practice address
- 50 Standiford St
C/O Ma Anesthesia Corp.
Boston, MA 02115 - Phone
- (781) 341-3966
- Fax
- (781) 341-8269
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Massachusetts General Physicians Organization Inc
Practice addresses (Care Compare)
115 Mill St
Belmont, MA 02478-1064
Phone (617) 643-0003
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Massachusetts General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050912000433 | MA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6002849049 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203845 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Current |
Accepting new patients | |
| Cap Anesthesia, PC | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
#309
Boston, MA 02114
Phone (617) 724-0341
50 Staniford St
Boston, MA 02114
Phone (617) 723-2015
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 203845 | MA | Yes |
Addresses
Primary practice location
50 Standiford St
C/O Ma Anesthesia Corp.
Boston, MA 02115
Mailing address
PO Box 372
Massachusetts Anesthesia Corp.
Stoughton, MA 02072
Phone (617) 724-0287
Other names
- Lisa McDonough
Other providers in Boston, MA
- CHW Workforce Development
- Bart Kevin Chwalisz
- Walter J Chwals
- Haval Chweich
- Arthur Chyan
- Leo T Chylack
- Yung Hwan Chyung
- Abigail Ciampa
- Erin Julia Ciampa
- Michael Anthony Ciaramella
All providers in Boston, MA · Certified Registered Nurse Anesthetist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.