MICHAEL P ENNIS (NPI# 1346241288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346241288 |
| Entity Type | Individual |
| Full Name | MICHAEL P ENNIS |
| Credential | CRNA |
| Practice Address |
123 Summer Street Worcester MA 01608 |
| Mailing Address |
690 Canton St Ste 325 Westwood MA 02090-2324 |
| Practice Telephone | 5083635000 |
| Mailing Telephone | 7814077713 |
| Mailing Fax Number | 7814070998 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 213881 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1205914363 | Michael E. Ennis | Anesthesiology | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1639160054 | Michael F Ennis | Legal Medicine | 5200 Centre Ave, Suite 312, Pittsburgh, PA 15232-1300 | 2005-11-03 |
| Street Address |
123 SUMMER STREET |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730181876 | George Abraham | Internal Medicine | 123 Summer Street, Suite 370 North, Worcester, MA 01608-1312 | 2005-06-01 |
| 1467004366 | Shwetha Rupendu | Internal Medicine | 123 Summer Street, Worcester, MA 01608-0160 | 2019-07-10 |
| 1811479520 | Danielle Maria Mastalerz | Dietitian, Registered | 123 Summer Street, Food and Nutrition, Suite 125, Worcester, MA 01608 | 2018-08-30 |
| 1245716034 | Shubhi Pandey | Internal Medicine | 123 Summer Street, Department of Medicine, Suite 120 South, Worcester, MA 01608 | 2018-07-14 |
| 1891210829 | Fnu Ashna Rajan | Internal Medicine | 123 Summer Street, Suite 120, Worcester, MA 01608 | 2017-08-10 |
| 1568810273 | Sai Katta | General Acute Care Hospital | 123 Summer Street, Saint Vincent Hospital, Worcester, MA 01608 | 2016-06-03 |
| 1295087914 | Parul Nagar | Obstetrics & Gynecology | 123 Summer Street, 587, Worcester, MA 01608 | 2012-10-04 |
| 1265729602 | Fouad Iba F Al Adel | Internal Medicine | 123 Summer Street, Worcester, MA 01608-1216 | 2011-07-06 |
| 1659668101 | Basim A Baragaba | Internal Medicine | 123 Summer Street, Worcester, MA 01608 | 2011-07-06 |
| 1811228273 | Christopher A Strassberger | Physician Assistant | 123 Summer Street, Worcester, MA 01608-1216 | 2010-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972004695 | Natasha Nicole Pittman | Nurse Anesthetist, Certified Registered | 12 Aitchison St Apt A, Worcester, MA 01604-1636 | 2018-02-27 |
| 1225166697 | Wendi Zymroz Sylvia | Nurse Anesthetist, Certified Registered | Wendy Sylvia, 128 Summer Street, Worcester, MA 01608 | 2007-02-28 |
| 1245217132 | Patricia J Auger | Nurse Anesthetist, Certified Registered | 123 Summer Streetr, Suite 255, Worcester, MA 01608 | 2005-12-30 |
| 1427679976 | Danielle Marie Brossi | Nurse Anesthetist, Certified Registered | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-05-06 |
| 1497213235 | Joshua Tello | Nurse Anesthetist, Certified Registered | 123 Summer St, Worcester, MA 01608-1216 | 2019-03-12 |
| 1598223422 | Amanda Beth Shehadeh | Nurse Anesthetist, Certified Registered | 123 Summer St, Worcester, MA 01608-1216 | 2019-03-11 |
| 1093292187 | John Bedard | Nurse Anesthetist, Certified Registered | 123 Summer St, Worcester, MA 01608-1216 | 2018-07-23 |
| 1740772169 | Amalia J. Zychowicz | Nurse Anesthetist, Certified Registered | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-06-01 |
| 1689180952 | Armand S. Vargas | Nurse Anesthetist, Certified Registered | 55 Lake Ave N, Worcester, MA 01655 | 2017-12-21 |
| 1467971044 | Emily M. Asselin | Nurse Anesthetist, Certified Registered | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-09-14 |
| Find all providers in WORCESTER | ||||
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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.