Theodore J Polys, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

138170 Issued in MA

Practice address

800 Washington St
Boston, MA 02111

Phone

(617) 636-5000

Fax

(781) 407-0998

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anesthetics of Lowell, PC

  • Anesthesiology Physician
  • Lowell, MA
  • NPI 1609822212
  NPD (past)
• Anesthetics of Massachusetts, PC

  • Certified Registered Nurse Anesthetist
  • Melrose, MA
  • NPI 1386695534

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Hallmark Health System Inc

  • Internal Medicine Physician
  • Medford, MA
  • NPI 1275673667
  NPD (past)
• Merrimack Valley Anesthesia

  • Anesthesiology Physician
  • Newburyport, MA
  • NPI 1699728030

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Merrimack Valley Anesthesia Associates, PC

  • Anesthesiology Physician
  • Newburyport, MA
  • NPI 1417900424
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1851379622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-5000",
            "fax_number": "781-407-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Staniford Street",
            "address_2": "c/o MA Anesthesia",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Staniford Street",
            "address_2": "c/o MA Anesthesia",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLYS",
        "first_name": "THEODORE",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "138170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew James Polyak, MD
• Gary I Polykoff, MD
• Angeliki Polymeri, DDS
• Remercile Polynice Pierre, NP
• Marie Shella Polynice
• Heather Lee Pomella, RN, MSN, CPNP
• Daniel J Pomerantz, MD
• Mark M Pomerantz, MD
• Stuart Robert Pomerantz, MD
• Kelifern Pomeranz, PSY.D.

• Certified Registered Nurse Anesthetist in Boston, MA
• Providers in Boston, 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 Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.