Active NPI
Christopher R Cannell, P.A.
- Physician Assistant
- Norwell, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1636
- Practice address
- 75 Washington St
Norwell, MA 02061-1795 - Phone
- (781) 878-5200
- Fax
- (781) 331-1763
- NPI assigned
- May 4, 2006
- Last updated
- Jun 22, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1636 | MA | Primary |
Addresses
Primary practice location
75 Washington St
Norwell, MA 02061-1795
Mailing address
75 Washington Street
Norwell, MA 02061-9147
Phone (781) 878-5200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTAN AP203001 | Other | MA | MEDICARE |
| 042297845 | Other | PHCS/MULTI-PLAN | |
| 042297845 | Other | GREAT WEST | |
| 042297845 | Other | TRICARE | |
| 042297845 | Other | FALLON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 88.12
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.69
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.46 of 100
- Quality
- 72.66
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 55.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1636 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Health Express, Inc | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| South Shore Health Express, Inc | Current | Accepting new patients | |
| South Shore Orthopedics LLC | Current | Accepting new patients | |
| South Shore Medical Center, Inc | Past | Accepting new patients | |
| Bay Radiology Associates, Inc. | Past | Accepting new patients |
Locations
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555
117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
dba Binney Medical Associates
- Special Hospital
- Boston, MA
- NPI 1346433257
-
- Orthopaedic Surgery Physician
- Hingham, MA
- NPI 1720285018
-
- Family Medicine Physician
- Westwood, MA
- NPI 1629479472
-
- Emergency Medicine Physician
- Falmouth, MA
- NPI 1376828988
-
- Urgent Care Clinic/Center
- Weymouth, MA
- NPI 1477044212
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Urgent Care Clinic/Center
- Sandwich, MA
- NPI 1902146798
-
- Emergency Medicine Physician
- Springfield, MA
- NPI 1083404313
-
- Urgent Care Clinic/Center
- Kingston, MA
- NPI 1033602099
-
- Urgent Care Clinic/Center
- Braintree, MA
- NPI 1487203246
-
- Diagnostic Radiology Physician
- Falmouth, MA
- NPI 1740392265
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1386692515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WASHINGTON STREET",
"city": "NORWELL",
"state": "MA",
"postal_code": "020619147",
"telephone_number": "781-878-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 WASHINGTON ST",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611795",
"telephone_number": "781-878-5200",
"fax_number": "781-331-1763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNELL",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "PTAN AP203001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS/MULTI-PLAN",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "042297845",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.