Tara L Traczyk, RN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2297922 Issued in MA

Practice address

907 Summer St. Suite M201
Guardian Anesthesia Inc
Stoughton, MA 02072

Phone

(781) 344-2325

Fax

(781) 341-8544

NPI assigned

Jan 2, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, UT2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nwi Medical Associates , LLCGroup PAC ID 4183087257, 64 clinicians

Sda Consultants PLLCGroup PAC ID 3870825912, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Hospital Hospital, Crown Point, IN, CCN 150166

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

• Nwi Medical Associates , LLC

  • Anesthesiology Physician
  • Munster, IN
  • NPI 1760182554

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Sda Consultants PLLC

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1336605500

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia of Indiana II, LLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1629475421

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northstar Anesthesia of Indiana LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1043561541

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• NPH Anesthesia of Utah, LLC

  • Anesthesiology Physician
  • Ogden, UT
  • NPI 1366077273
  Medicare reassignment NPD
• St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
  • NPI 1396847596
  Medicare reassignment NPD
• Utah Gastroenterology LLC

  • Gastroenterology Physician
  • Salt Lake City, UT
  • NPI 1871689562
  Medicare reassignment NPD
• St. Catherine Hospital Inc.

  • Community/Retail Pharmacy
  • East Chicago, IN
  • NPI 1568806057
  NPD
• Utah Gastroenterology

  • Gastroenterology Physician
  • Sandy, UT
  • NPI 1124837646
  NPD
• Utah Gastroenterology LLC

  • Gastroenterology Physician
  • Bountiful, UT
  • NPI 1457393761
  NPD
• South Shore Anesthesia Associates, Inc

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1215066394
  NPD (past)
• Weymouth Endoscopy, LLC

  • Endoscopy Clinic/Center
  • South Weymouth, MA
  • NPI 1033199906
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pinnacle Healthcare LLC

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1801969670
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1386032167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SUMMER ST. SUITE M201",
            "address_2": "GUARDIAN ANESTHESIA INC",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "781-344-2325",
            "fax_number": "781-341-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SUMMER ST. SUITE M201",
            "address_2": "GUARDIAN ANESTHESIA INC",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "781-344-2325",
            "fax_number": "781-341-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACZYK",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2297922",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "2297922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irving Barry Torbin
• Marie Florence Toussaint, M.ED.
• Town of Stoughton
• Town of Stoughton
• Town of Stoughton
• Tradition Home Care
• Taivictor Tran
• Tri-County Pediatric Associates, P.C.
• Heather Trilligan
• Truenorth Counseling LLC

• Certified Registered Nurse Anesthetist in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Certified Registered Nurse Anesthetist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.

Verify at the official NPI Registry.