Active NPI
Caroline P. Macintosh, CRNA
- Certified Registered Nurse Anesthetist
- Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2260671
- Practice address
- 163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118 - Phone
- (781) 337-4224
- Fax
- (781) 335-0429
- NPI assigned
- Mar 11, 2009
- Sex
- Female
- 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 | RN2260671 | MA | Primary |
Addresses
Primary practice location
163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118
Mailing address
163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118
Phone (781) 337-4224
Other names 1
- Caroline H. Park
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Allied Dr
Dedham, MA 02026-6146
Phone (617) 865-1110
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2260671 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients | |
| South Shore Anesthesia Associates, Inc | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Anesthesiology Physician
- Dedham, MA
- NPI 1639878713
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1215066394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1184865750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 LIBBEY PKWY",
"address_2": "SUITE 301",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893118",
"telephone_number": "781-337-4224",
"fax_number": "781-335-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 LIBBEY PKWY",
"address_2": "SUITE 301",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893118",
"telephone_number": "781-337-4224",
"fax_number": "781-335-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACINTOSH",
"first_name": "CAROLINE",
"middle_name": "P.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2260671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "PARK",
"middle_name": "H.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.