NPIMap

Organization Active NPI

Narragansett Bay Anesthesia, LLC

  • Anesthesiology Physician
  • Swansea, MA
National Provider Identifier
1962452516
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NARRAGANSETT BAY ANESTHESIA, LLC
Practice address
440 Swansea Mall Dr
Swansea, MA 02777-4114
Phone
(508) 324-1171
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Robert D McIvor
Title
Coo
Phone
(781) 407-7713

Specialties & licenses 1

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

Addresses

Primary practice location

440 Swansea Mall Dr
Swansea, MA 02777-4114

Mailing address

PO Box 3072
Boston, MA 02241-3072
Phone (781) 407-7713

Other identifiers 1

IdentifierTypeStateIssuer
9738461MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Narragansett Bay Anesthesia LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962452516",
    "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": "440 SWANSEA MALL DR",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774114",
            "telephone_number": "508-324-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARRAGANSETT BAY ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCIVOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "781-407-7713"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9738461",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.