Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1083787352

Unknown Individual is a healthcare provider. based in Stoneham, Massachusetts. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN131830 (MA). The NPI Number for Unknown Individual is 1083787352

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083787352
Phone
(781) 341-3966
Address
91 MONTVALLE AVE
Deactivation Date
31 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 91 MONTVALLE AVE

    NORTH SHORE CATARACT & LASER CTR C/O MA ANESTHESIA CORP

    STONEHAM, MA 021800000

    Phone: (781) 341-3966

    Fax: (781) 744-5348

    Type: Location

  • County Road 372, Stoughton Corners, Hartford Township, Van Buren County, Michigan, 49057, United States

    MASSACHUSETTS ANESTHESIA CORP

    STOUGHTON, MA 020720372

    Phone: (781) 341-3966

    Fax: (781) 744-5348

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02180)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1083787352 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Massachusetts?
You will see Stoneham, Massachusetts on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1083787352. Always confirm identity and privileges with the practice and licensing boards.