Active NPI
Narragansett Bay Anesthesia, LLC
- Anesthesiology Physician
- Westwood, MA
National Provider Identifier
1487926499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- NARRAGANSETT BAY ANESTHESIA, LLC
- Practice address
- 690 Canton St
Suite 325
Westwood, MA 02090-2321 - Phone
- (781) 407-7713
- Fax
- (781) 407-0998
- NPI assigned
- Feb 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert McIvor
- Title
- Ceo
- Phone
- (781) 407-7715
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
690 Canton St
Suite 325
Westwood, MA 02090-2321
Mailing address
PO Box 3072
Boston, MA 02241-3072
Phone (781) 407-7713
National Provider Directory
National Provider Directory- Tax ID family
- Narragansett Bay Anesthesia LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Swansea, MA
- NPI 1962452516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328572800000",
"number": "1487926499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3072",
"city": "BOSTON",
"state": "MA",
"postal_code": "022413072",
"telephone_number": "781-407-7713",
"fax_number": "781-407-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 CANTON ST",
"address_2": "SUITE 325",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902321",
"telephone_number": "781-407-7713",
"fax_number": "781-407-0998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NARRAGANSETT BAY ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A",
"authorized_official_last_name": "MCIVOR",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "781-407-7715"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.