Individual provider Active NPI

Roman W Dashawetz, CRNA

  • Certified Registered Nurse Anesthetist
  • Stoughton, MA
National Provider Identifier
1982600557
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
146986 Issued in MA
Practice address
907 Sumner St
Guardian Anesthesia Inc
Stoughton, MA 02072
Phone
(781) 344-2325
Fax
(781) 341-8544
NPI assigned
Jun 28, 2005
Last updated
Jul 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 46667 ME
Certified Registered Nurse Anesthetist 367500000X 146986 MA Primary

Addresses

Primary practice location

907 Sumner St
Guardian Anesthesia Inc
Stoughton, MA 02072

Mailing address

907 Sumner St M201
Guardian Anesthesia Inc
Stoughton, MA 02072
Phone (781) 344-2325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146986MAMDCertified Registered Nurse Anesthetist
46667MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Urology Institute LLC Past Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Anesthesiology Assoc of Taunton Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1982600557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SUMNER ST M201",
            "address_2": "GUARDIAN ANESTHESIA INC",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "781-344-2325",
            "fax_number": "781-341-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SUMNER ST",
            "address_2": "GUARDIAN ANESTHESIA INC",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "781-344-2325",
            "fax_number": "781-341-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASHAWETZ",
        "first_name": "ROMAN",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "46667",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "146986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.