MATTHEW D. PETTA


Address: 628 Madison St, Port Townsend, WA 98368-4414
Phone: 4029900733

MATTHEW D. PETTA (NPI# 1376569954) 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) 1376569954
Entity Type Individual
Full Name MATTHEW D. PETTA
Credential CRNA
Practice Address 628 Madison St
Port Townsend
WA 98368-4414
Practice Telephone 4029900733
Mailing Telephone 4029900733
Enumeration Date 2006-07-15
Last Update Date 2016-02-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 60552041 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA NPI 1376569954 01

Office Location

Street Address 628 MADISON ST
City PORT TOWNSEND
State WA
Zip Code 98368-4414

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NPI Name Taxonomy Address Enumeration
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1841769031 Richard Sankey Hansen Counselor 448 Hastings Ave, Port Townsend, WA 98368 2018-11-16
1255800595 Alan P Brown Counselor 821 Mcpherson St, Port Townsend, WA 98368 2018-11-15
1699257873 Megan E Smith Counselor 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 2018-09-04
1093297434 Jacqueline Levin Clinical Nurse Specialist 234 Pond Road, Port Townsend, WA 98368 2018-09-02
1306335682 Matthew D Hust Physical Therapy Assistant 751 Kearney Street, Port Townsend, WA 98368 2018-05-02
1306368238 Michael Ozar Psychologist 1806 Walnut Street, Port Townsend, WA 98368 2017-07-12
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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
1285024208 Maria Packard Nurse Anesthetist, Certified Registered 834 Sheridan St, Port Townsend, WA 98368-2443 2015-01-29
1780869800 Brad T Walker Nurse Anesthetist, Certified Registered 834 Sheridan St, Port Townsend, WA 98368-2443 2008-01-08
1952455503 Todd A. Erickson Nurse Anesthetist, Certified Registered 834 Sheridan St, Port Townsend, WA 98368-2443 2007-01-22
1215987615 Patricia L Stanwood Nurse Anesthetist, Certified Registered 834 Sheridan St, Port Townsend, WA 98368-2443 2006-05-10
1629027552 Point Wilson Anesthesia, PC Nurse Anesthetist, Certified Registered 834 Sheridan St, Port Townsend, WA 98368-2443 2006-05-08
1255396701 Olympic Anesthesia Inc PC Nurse Anesthetist, Certified Registered 834 Sheridan St, Port Townsend, WA 98368-2443 2006-04-18
1801855978 Colum Patrick Tinley Nurse Anesthetist, Certified Registered 834 Sheridan St, Port Townsend, WA 98368-2443 2006-03-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871109835 Mandy Lynn Engel Nurse Anesthetist, Certified Registered 5366 93rd Pl Sw, Mukilteo, WA 98275-3610 2020-09-16
1447872148 Hs Orion Enterprises, LLC Nurse Anesthetist, Certified Registered 1120 N Pines Rd Ste 102, Spokane Valley, WA 99206-4942 2020-05-15
1457982308 Salish Sedation Services, Pllc Nurse Anesthetist, Certified Registered 2930 Squalicum Pkwy Ste 202, Bellingham, WA 98225-1854 2020-01-30
1063043982 Jose Daniel Olivera Nurse Anesthetist, Certified Registered 4800 Sand Point Way Ne Ste 100, Seattle, WA 98105-3901 2020-01-29
1750844312 Amanda Marie Barrett Nurse Anesthetist, Certified Registered 11632 3rd St Ne, Lake Stevens, WA 98258-9716 2019-04-10
1154883320 Zen Anesthesia LLC Nurse Anesthetist, Certified Registered 417 145th Ave Ne, Bellevue, WA 98007-4927 2019-04-04
1831651009 Pacific Rim Anesthesia Services Pllc Nurse Anesthetist, Certified Registered 1427 Jefferson Ave Ste 101, Enumclaw, WA 98022-3649 2019-04-04
1386105633 Frische Inc Nurse Anesthetist, Certified Registered 3100 Carillon Pt Ste 3100, Kirkland, WA 98033-7306 2019-03-28
1942765359 Ethereal Anesthesia Pllc Nurse Anesthetist, Certified Registered 9730 3rd Ave Ne Ste 200, Seattle, WA 98115-2023 2019-02-11
1548758733 Empire of Daft Anesthesia, LLC Nurse Anesthetist, Certified Registered 24622 214th Ave Se, Maple Valley, WA 98038-8507 2018-04-24
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Competitor

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City PORT TOWNSEND
Zip Code 98368

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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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