NPIMap

Organization Active NPI

Atlantic Anesthesia, P.C.

  • Anesthesiology Physician
  • Norwood, MA
National Provider Identifier
1700061652
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ATLANTIC ANESTHESIA, P.C.
Practice address
100 Morse St
Eastern Massachusetts Surgery Center
Norwood, MA 02062-4679
Phone
(617) 480-9060
NPI assigned
Jan 9, 2008
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Amer Al-Tabbaa, M.D.
Title
President
Phone
(617) 480-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

100 Morse St
Eastern Massachusetts Surgery Center
Norwood, MA 02062-4679

Mailing address

PO Box 96
Lewiston, ME 04243-0096
Phone (800) 720-1664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000208 MA Part B Supplier - Clinic/Group Practice 9638255300 Receives reassigned benefits from 100 practitioners
Practice locations: Attleboro, MA; Norwood, MA; Sandwich, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1700061652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042430096",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MORSE ST",
            "address_2": "EASTERN MASSACHUSETTS SURGERY CENTER",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624679",
            "telephone_number": "617-480-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC ANESTHESIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "AL-TABBAA",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-480-9060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.