Active NPI
Jack F Kearns, CRNA
- Certified Registered Nurse Anesthetist
- Norwood, MA
National Provider Identifier
1952490146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 199762
- Practice address
- 800 Washington St
Anesthesia Department
Norwood, MA 02062-3487 - Phone
- (781) 278-6524
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 199762 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Anesthesia Department
Norwood, MA 02062-3487
Mailing address
PO Box 845044
MVP Anesthesia Associates
Boston, MA 02284-5044
Phone (800) 720-1664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430070320 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199762 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Anesthesia, P.C. | Current | Accepting new patients | |
| Matrix Anesthesia, PC | Current | Accepting new patients | |
| Jordan Hospital Anesthesia Associates, PC | Past | Accepting new patients | |
| North Wood Anesthesia Services, P.C. | Past | Accepting new patients |
Locations
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
100 Morse St
Norwood, MA 02062
Phone (781) 255-0362
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Norwood, MA
- NPI 1700061652
-
- Anesthesiology Physician
- Brockton, MA
- NPI 1700028032
-
- Anesthesiology Physician
- Carver, MA
- NPI 1447203500
-
- Anesthesiology Physician
- Berlin, NH
- NPI 1447205356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1952490146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845044",
"address_2": "MVP ANESTHESIA ASSOCIATES",
"city": "BOSTON",
"state": "MA",
"postal_code": "022845044",
"telephone_number": "800-720-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623487",
"telephone_number": "781-278-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNS",
"first_name": "JACK",
"middle_name": "F",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "199762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430070320",
"state": null
}
],
"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 Jun 18, 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.