Sisavath Douangsavanh is a Worcester, Massachusetts based nurse anesthetist with 12 years of experience as Anesthesia Administration. He completed he graduation in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Sisavath Douangsavanh is RN243970 for Anesthesia Administration in Massachusetts. his current practice location is 55 Lake Ave N, Worcester. Patients can reach him at 508-334-3271 or can fax him at 508-856-5911. Sisavath Douangsavanh is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1255755658.
Sisavath Douangsavanh is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Sisavath Douangsavanh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 55 Lake Ave N, Worcester,
Massachusetts, 01655-0002 |
| Phone: | 508-334-3271 |
| Fax: | 508-856-5911 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| PAC ID: | 4688807738 |
| Enrollment ID: | I20211216000934 |
| NPI Number: | 1255755658 |
| NPI Enumeration Date: | 06 Feb, 2014 |
| NPI Last Update On: | 13 Dec, 2021 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sisavath Douangsavanh are as mentioned below.
| License Number | Specialization | State | Status | |
| RN243970 | Anesthesia Administration | Massachusetts | Primary | |
| RN38566 | Anesthesia Administration | Rhode Island | Secondary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Sisavath Douangsavanh has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Umass Memorial Medical Group Inc (4284539891) | 1733 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Sisavath Douangsavanh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 110125025A | Medicaid | Massachusetts | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 415348,
Boston, Massachusetts |
| Zip: | 02241-5348 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Sisavath Douangsavanh at
55 Lake Ave N, Worcester, Massachusetts or can
call to book an appointment on 508-334-3271.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.