MICHAEL E. ENNIS (NPI# 1205914363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205914363 |
| Entity Type | Individual |
| Full Name | MICHAEL E. ENNIS |
| Credential | MD |
| Practice Address |
1425 S Main St Walnut Creek CA 94596-5318 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9252954000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | G70960 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G709600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164500583 | Michael Ennis | Chiropractor | 16852 Titan Drive, Houston, TX 77058-2730 | 2006-11-02 |
| 1336229186 | Michael Jonathan Ennis | Optometrist | 131 Glensford Commons Suite 105, Fayetteville, NC 28314 | 2006-10-16 |
| 1861482663 | Michael C. Ennis | Family Medicine | 279 Lincoln St, Hahnemann Family Health Center, Worcester, MA 01605-2120 | 2005-10-24 |
| 1578995353 | Michael Ryan Ennis | Technician, Other | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-08-05 |
| 1285844936 | Michael Ennis | Occupational Therapist | 164 Parkingway St, Quincy, MA 02169-5020 | 2007-05-23 |
| 1639160054 | Michael F Ennis | Legal Medicine | 5200 Centre Ave, Suite 312, Pittsburgh, PA 15232-1300 | 2005-11-03 |
| 1346241288 | Michael P Ennis | Nurse Anesthetist, Certified Registered | 123 Summer Street, Worcester, MA 01608 | 2005-08-02 |
| Street Address |
1425 S MAIN ST |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342638 | Ingrid Wendy Fernandes | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2005-08-09 |
| 1982221297 | Michelle Nhumai Huynh | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-07-02 |
| 1144869322 | Darrell James David | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-01-05 |
| 1306484530 | Kayla Galanter | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-12-18 |
| 1184260804 | Carol Jean Mcmenamy | Social Worker | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-18 |
| 1871138990 | Gloria Yatmen Lai | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-12 |
| 1851945901 | Zsanell Go | Physical Therapist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-07-26 |
| 1043776453 | Bridget Rochios | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1518423920 | Britnie Lee Milam | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1326503244 | Megan R Moore | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| 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 |
|---|---|---|---|---|
| 1982038378 | Surgical Anesthesia Specialists Inc | Anesthesiology | 460 N Wiget Ln Ste A, Walnut Creek, CA 94598-2408 | 2013-08-21 |
| 1790125425 | Thomas Lewis Thomason | Anesthesiology | 825 Hutchinson Rd, Walnut Creek, CA 94598-4558 | 2013-06-26 |
| 1255569661 | Lisa Marie Chargualaf-singa | Anesthesiology | 1601 Ygnacio Valley Road, Dept of Anesthesiology, Walnut Creek, CA 94598 | 2009-06-24 |
| 1457514176 | Young Sin Lin | Anesthesiology | 2175 N California Blvd Ste 425, Walnut Creek, CA 94596-7164 | 2008-07-02 |
| 1295818615 | Farzad Namdaran | Anesthesiology | 1425 S Main Street, Walnut Creek, CA 94596 | 2006-10-21 |
| 1255377495 | Lawrence David Gluckstein | Anesthesiology | 365 Lennon Ln Ste 250, Walnut Creek, CA 94598-5915 | 2006-06-22 |
| 1427090414 | Steven Christopher Chang | Anesthesiology | 2175 N California Blvd, Suite 425, Walnut Creek, CA 94596-3579 | 2006-06-12 |
| 1003858697 | Kurt Dieter Dittmar | Anesthesiology | 1607 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2006-06-11 |
| 1790732527 | Michael Gerald Hernandez | Anesthesiology | 1600 Riviera Ave, Walnut Creek, CA 94596-3569 | 2006-05-27 |
| 1568418309 | Tamara M Jurson | Anesthesiology | 1600 Riviera Ave Ste 420, Walnut Creek, CA 94596-7115 | 2006-05-25 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on MICHAEL E. ENNIS.
| 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.