MICHAEL DUANE PETTY


Address: 101 W 8th Ave, Mother Gamelin Center 3rd Floor, Spokane, WA 99204-2307
Phone: 5094742072

MICHAEL DUANE PETTY (NPI# 1013355817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013355817
Entity Type Individual
Full Name MICHAEL DUANE PETTY
Credential CRNA
Practice Address 101 W 8th Ave
Mother Gamelin Center 3rd Floor
Spokane
WA 99204-2307
Practice Telephone 5094742072
Mailing Telephone 5094742072
Enumeration Date 2013-06-13
Last Update Date 2016-08-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered AP60367548 WA Physician Assistants & Advanced Practice Nursing Providers
N 367H00000X Anesthesiologist Assistant AP60367548 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL PETTY

NPI Name Taxonomy Address Enumeration
1679578132 Michael Travis Petty Chiropractor 10826 Kingston Pike, Knoxville, TN 37934-3059 2005-06-20
1255951216 Michael Glenn Petty Registered Nurse 500 Harvard St Se, Minneapolis, MN 55455-0363 2020-04-20
1598222531 Michael Petty Physical Therapist 22 Mill St Ste 406, Arlington, MA 02476-4744 2019-02-26
1700850682 Michael Kent Petty Family Medicine 7300 Bosque Blvd, Waco, TX 76710 2006-02-15

Office Location

Street Address 101 W 8TH AVE
MOTHER GAMELIN CENTER 3RD FLOOR
City SPOKANE
State WA
Zip Code 99204-2307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003819319 Sacred Heart Medical Center General Acute Care Hospital 101 W 8th Ave, Spokane, WA 99204-2307 2005-05-31
1124626841 Melissa Ann Benson Respiratory Therapist, Registered 101 W 8th Ave, Spokane, WA 99204-2307 2020-10-14
1184236671 Margaret Ann Warren Physical Therapist 101 W 8th Ave, Spokane, WA 99204-2307 2020-08-18
1265044747 Melyssa Carlson Registered Nurse 101 W 8th Ave, Spokane, WA 99204-2307 2020-08-17
1760091276 Corle Morefield Pharmacist 101 W 8th Ave, Spokane, WA 99204-2307 2020-07-30
1174143663 Ashley Kay Gardiner Student in an Organized Health Care Education/Training Program 101 W 8th Ave, Spokane, WA 99204-2307 2020-04-24
1265061485 Mary Katherine Griessmann Social Worker 101 W 8th Ave, Spokane, WA 99204-2307 2020-04-08
1558990994 Ingrid Mary Agnew Social Worker 101 W 8th Ave, Spokane, WA 99204-2307 2020-04-07
1952930562 Cody Key Student in an Organized Health Care Education/Training Program 101 W 8th Ave, Spokane, WA 99204-2307 2020-04-06
1417586173 Samuel Logan Student in an Organized Health Care Education/Training Program 101 W 8th Ave, Spokane, WA 99204-2307 2020-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982250957 Megan Elizabeth Dibenedetto Pharmacist 105 West 8th Avenue, 350e, Spokane, WA 99204 2019-08-14
1619521168 Evelyn R Cabon Genetic Counselor, MS 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 2019-08-01
1346700655 Christina Rose Student in an Organized Health Care Education/Training Program 120 W. 8th Avenue, Spokane, WA 99204 2019-03-22
1508339862 Cody J French Physical Therapist Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 2019-01-09
1730655598 Washington Outpatient Rehabilitation, LLC Physical Therapist 507 S. Washington St., Suite 10, Spokane, WA 99204 2018-10-19
1013405547 Joel James Hayden Student in an Organized Health Care Education/Training Program Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 2018-04-30
1144694787 Brooksjohnsonpllc Dentist 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 2015-11-19
1497184196 Kathalene M Cassels Physician Assistant 810 W. 5th Ave. Ste 510, Spokane, WA 99204 2013-11-04
1174880454 Kelly E Wurzel Psychiatry & Neurology 624 E. Front Ave, Spokane, WA 99204 2012-04-11
1003190331 Katie L Gomez Nurse Practitioner 805 W. 5th Ave, Suite 518, Spokane, WA 99204 2011-10-05
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598208399 Laura Painley Nurse Anesthetist, Certified Registered 101 W 8th Ave # Pmg, Spokane, WA 99204-2307 2016-11-28
1467854067 Sara Vangemert Nurse Anesthetist, Certified Registered 3302 E 71st Ave, Spokane, WA 99223-1907 2014-09-25
1386943371 Royter Anesthesia Inc. Nurse Anesthetist, Certified Registered 707 W 21st Ave, Spokane, WA 99203-1948 2011-03-16
1962642751 John J Fontana Nurse Anesthetist, Certified Registered 621 W 21st Ave, Spokane, WA 99203-1946 2009-03-06
1407999261 Elizabeth Mcbeath-bosch Nurse Anesthetist, Certified Registered 5633 N Lidergerwood, Spokane, WA 99208 2007-02-14
1720134323 Jacqueline Bates Nurse Anesthetist, Certified Registered W. 101 Eigth Avenue, Spokane, WA 99204 2007-01-26
1093861775 Michelle Trytko Nurse Anesthetist, Certified Registered 5633 N. Lidergerwood, Spokane, WA 99208 2007-01-26
1912073438 Jennifer S Havin Nurse Anesthetist, Certified Registered 6404 S Latah Hills Ct, Spokane, WA 99224-8530 2006-11-27
1003926304 Inland Anesthesia Service Ps Nurse Anesthetist, Certified Registered 535 S Pine St, Spokane, WA 99202-1347 2006-08-30
1073628251 Loren Lloyd Starr Nurse Anesthetist, Certified Registered 3143 E 29th Ave, Spokane, WA 99223 2006-08-20
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City SPOKANE
Zip Code 99204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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