Active NPI
David A Macdonald, CRNA
- Certified Registered Nurse Anesthetist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN277255
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 724-0288
- Fax
- (617) 724-3947
- NPI assigned
- Apr 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN49603 | RI | |
| Certified Registered Nurse Anesthetist | 367500000X | RN277255 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
55 Fruit St
Boston, MA 02114-2621
Phone (617) 724-0288
Other practice location 1
903 Providence Place
Apt 222
Providence, RI 02903
Phone (617) 710-4985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN49603 | RI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gbaa Holdings, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Winchester Anesthesia Associates, Inc | Current | Accepting new patients | |
| Tri Anesthesia LLC | Current | Accepting new patients | |
| Icon Anesthesia Services of New England LLC | Current | Accepting new patients | |
| Commonwealth Anesthesia Associates, Inc | Current | Accepting new patients |
Locations
45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
175 Worcester St
Wellesley Hls, MA 02481
Phone (617) 272-0004
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
300 Grove St
Worcester, MA 01605
Phone (508) 754-0700
Organizations & group practices 7
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Pain Medicine (Anesthesiology) Physician
- Newton, MA
- NPI 1184645194
-
- Anesthesiology Physician
- Acton, MA
- NPI 1790299592
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Middleton, MA
- NPI 1629583323
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Anesthesiology Physician
- Worcester, MA
- NPI 1275331761
-
- Pain Medicine (Anesthesiology) Physician
- Winchester, MA
- NPI 1972626117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593216000000",
"number": "1740624006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-724-0288",
"fax_number": "617-724-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-724-0288",
"fax_number": "617-724-3947"
}
],
"practiceLocations": [
{
"address_1": "903 Providence Place",
"address_2": "Apt 222",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02903",
"country_code": "US",
"telephone_number": "617-710-4985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACDONALD",
"first_name": "DAVID",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-17",
"last_updated": "2020-06-27",
"certification_date": "2020-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "RI",
"license": "RN49603",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN277255",
"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 Jun 27, 2020; 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.