Michael P Ennis (NPI# 1346241288, PAC ID# 4688662109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1346241288 |
| PAC ID by PECOS | 4688662109 |
| Professional Enrollment ID | I20120313000658 |
| Full Name | Michael P Ennis |
| Organization Legal Name | ANESTHESIOLOGY INC |
| Address |
101 Dudley St Providence RI 02905-2499 |
| Phone Number | 4012748110 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2001 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2264446236 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410010 | WOMEN & INFANTS HOSPITAL OF RHODE ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 101 Dudley St, Providence, RI 02905-2499 | 4012748110 | ANESTHESIOLOGY INC |
| Organization Legal Name | ANESTHESIOLOGY INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy L Dow | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Doris T Costello | Anesthesiology | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Donna F Griffith | Anesthesiology | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Marisa Abreu | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Nancy L Calenda | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Dhhananjay A Mehta | Anesthesiology | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Paul Costigan | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Elizabeth A Gamble | Anesthesiology | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Louise F Amalfetano | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Thomas R Donovan Jr. | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Street Address |
101 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02905-2499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy L Dow | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Joyce J Ou | Pathology | Women and Infants Hospital of Rhode Island | 101 Dudley St, Providence, RI 02905-2401 |
| Doris T Costello | Anesthesiology | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Donna F Griffith | Anesthesiology | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Monique E Depaepe | Pathology | Women and Infants Hospital of Rhode Island | 101 Dudley St, Providence, RI 02905-2401 |
| Marisa Abreu | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Natalie Banet | Pathology | Women and Infants Hospital of Rhode Island | 101 Dudley St, Providence, RI 02905-2401 |
| Nancy L Calenda | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Dhhananjay A Mehta | Anesthesiology | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Paul Costigan | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Inc | 101 Dudley St, Providence, RI 02905-2499 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Find all physicians in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PROVIDENCE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Michael P Ennis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.