Active NPI
Annemaria De Tina, M.D, FRCPC
- Anesthesiology Physician
- Boston, MA
National Provider Identifier
1245609346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 41237927
- Practice address
- 75 Francis St
L1 - Anesthesia Dept
Boston, MA 02115-6110 - Phone
- (905) 517-8076
- NPI assigned
- Sep 18, 2015
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 41237927 | MA | Primary |
Addresses
Primary practice location
75 Francis St
L1 - Anesthesia Dept
Boston, MA 02115-6110
Mailing address
75 Francis Street
Brigham and Women'S Hospital
Boston, MA 02115
Phone (617) 732-8210
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41237927 | MA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1245609346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET",
"address_2": "BRIGHAM AND WOMEN'S HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-8210",
"fax_number": "617-277-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "L1 - ANESTHESIA DEPT",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "905-517-8076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE TINA",
"first_name": "ANNEMARIA",
"name_prefix": "Dr.",
"credential": "M.D, FRCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "41237927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.