| Henry Thomas Howard, | |
|
2100 Dorchester Ave, Dorchester Center, MA 02124-5615 | |
| (617) 298-4632 | |
| (617) 296-6919 |
| Full Name | Henry Thomas Howard |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2100 Dorchester Ave, Dorchester Center, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073578365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 128109 (Massachusetts) | Primary |
| Entity Name | Ivs Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740440163 PECOS PAC ID: 9537233010 Enrollment ID: O20081201000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Thomas Howard, 340 Main Street, Suite 670, Worcester, MA 01608-1604 Ph: (508) 754-3566 | Henry Thomas Howard, 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 Ph: (617) 298-4632 |
Theresa Caron Bognanno, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Maureen Nickerson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
James Egan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Richard Downey, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Susan Joyce, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Laura Weiner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 |