DR. MICHAEL PETTIS (NPI# 1144334665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144334665 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PETTIS |
| Credential | MD |
| Practice Address |
7500 Mercy Rd Omaha NE 68124 |
| Mailing Address |
7710 Mercy Rd Suite 424 Omaha NE 68124 |
| Practice Telephone | 4023438760 |
| Practice Fax Number | 4023438765 |
| Mailing Telephone | 4023438760 |
| Mailing Fax Number | 4023438765 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 18239 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47079756000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104036821 | Michael H Pettis | Social Worker | 499 Gloster Creek Vlg, Suite D-1, Tupelo, MS 38801-4600 | 2007-05-23 |
| Street Address |
7500 MERCY RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295728368 | Thomas W Frederickson | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2005-08-24 |
| 1356940381 | Brenna M Hobson | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-10-21 |
| 1538778246 | Dua Noor Butt | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-07-28 |
| 1730706185 | Stephen James Cooper | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-07-01 |
| 1609493527 | Meghan E Farquhar | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-06-26 |
| 1275158909 | Rebecca M Toomsen | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-06-09 |
| 1770106783 | Jennifer E Cook | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-26 |
| 1427671445 | Wesley J Kerman | Student in an Organized Health Care Education/Training Program | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-26 |
| 1427670678 | Nicholas David Tran | Surgery | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2020-05-11 |
| 1538712260 | Kirsten A Boedeker-jenkins | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2019-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1801315197 | Sweet Dreams Anesthesia | Clinic/Center | 1755 Ridgewood Ave, Omaha, NE 68124 | 2017-09-18 |
| 1295257657 | Margaret R Hodges | Dietitian, Registered | 8715 Oak Street, Omaha, NE 68124 | 2017-07-07 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1578010542 | Mary Ellen Royer | Counselor | 8715 Oak St., Omaha, NE 68124 | 2016-09-07 |
| 1750759361 | Pain Centers of The Midlands LLC | Anesthesiology | 2808 S. 80th Ave, Suite 230, Omaha, NE 68124 | 2015-09-14 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1841631215 | Nebraska Organ Recovery System | Organ Procurement Organization | 8502 West Center Road, Omaha, NE 68124 | 2013-07-12 |
| Find all providers in zip 68124 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1457783995 | Thomas Joseph Manning IIi | Anesthesiology | Emile @ 2nd St, Omaha, NE 68198-4455 | 2013-08-07 |
| 1972866937 | Devin Troy Kearns | Anesthesiology | 42 Nd and Emile, Omaha, NE 68198-0001 | 2012-06-24 |
| 1366702789 | Shaun Louis Thompson | Anesthesiology | 42nd and Emile St., Omaha, NE 68198-4150 | 2012-05-18 |
| 1104113109 | Kenneth Paul Barjenbruch | Anesthesiology | 9733 Spring Street, Omaha, NE 68124 | 2011-06-29 |
| 1639469927 | Derrick Metschke | Anesthesiology | 1101 N. 50th Ave, Omaha, NE 68132 | 2011-04-08 |
| 1598070757 | Amber N Guck | Anesthesiology | S 42nd & Emile Street, Omaha, NE 68198-1091 | 2010-08-12 |
| 1346471448 | Aungnainghtun Myasein | Anesthesiology | 601north 30th St, Creighton University-gme, Omaha, NE 68131 | 2009-08-06 |
| 1902061427 | Mark Devoy Reisbig | Anesthesiology | Unmc Anesthesiology, 984455 Nebraska Medical Center, Omaha, NE 68198-4455 | 2008-07-24 |
| 1174787188 | Joseph Adam Robinson | Anesthesiology | 984285 Nebraska Medical Ctr, Omaha, NE 68198-4285 | 2008-07-18 |
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| 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.