Active NPIIndividual provider

Seonggeun Jin, CRNA

Nurse Anesthetist, Certified Registered in Beverly, Massachusetts

NPI Number1487889291
Practice location
85 Herrick St, Beverly, MA 01915-1790
Fax
—
Last updated
November 14, 2023

Seonggeun Jin is a Nurse Anesthetist, Certified Registered based in Beverly, MA. Seonggeun Jin practices in Beverly, MA and has the professional credentials of CRNA. The NPI Number for Seonggeun Jin is 1487889291 and holds a License No. ARNP9253829 (FL). The current practice location address for Seonggeun Jin is 85 Herrick St, Beverly, MA 01915-1790 and can be reached out via phone at 978-816-3700.

Provider Profile Details

NPI Number
1487889291
Provider Name
Seonggeun Jin
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
85 Herrick St, Beverly, MA 01915-1790
Phone Number
978-816-3700
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2009
Last Update Date
November 14, 2023
Certification Date
November 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Herrick St
Beverly, MA 01915-1790
Zip
01915-1790
Phone Number
978-816-3700
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8000

License Information

License Number (1)
ARNP9253829
License State (1)
FL
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
RN2312048
License State (2)
MA
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Seonggeun Jin, CRNA?

The NPI number of Seonggeun Jin, CRNA is 1487889291. It was assigned on May 22, 2009 and is currently active in the NPPES registry.

What is the specialty of Seonggeun Jin, CRNA?

Seonggeun Jin, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in FL under license number ARNP9253829.

Where does Seonggeun Jin, CRNA practice?

The practice location is 85 Herrick St, Beverly, MA 01915-1790. The office can be reached at 978-816-3700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487889291 directly on the NPPES registry website.

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