Michael Petty (NPI# 1013355817, PAC ID# 9234353574) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1013355817 |
| PAC ID by PECOS | 9234353574 |
| Professional Enrollment ID | I20140606001691 |
| Full Name | Michael Petty |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICE- WASHINGTON |
| Address |
101 W 8th Ave Spokane WA 99204-2307 |
| Phone Number | 5094743131 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0840279758 |
| Number of Group Practice Members | 163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500077 | PROVIDENCE HOLY FAMILY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 W 8th Ave, Spokane, WA 99204-2307 | 5094743131 | PROVIDENCE HEALTH AND SERVICE- WASHINGTON |
| 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 5094820111 | PROVIDENCE HEALTH AND SERVICE- WASHINGTON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICE- WASHINGTON |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten E Redborg | Anesthesiology | Providence Health and Service- Washington | 914 S Scheuber Rd, Centralia, WA 98531-9027 |
| Joshua S Adams | Certified Registered Nurse Anesthetist (crna) | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Thomas A Satterfield | Anesthesiology | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Trenton L Pierce | Anesthesiology | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Amber Christina George | Certified Registered Nurse Anesthetist (crna) | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Diana Marie Bouge | Certified Registered Nurse Anesthetist (crna) | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Douglas G Demmert | Certified Registered Nurse Anesthetist (crna) | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Philip D Ogden | Anesthesiology | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Amanda L Affleck | Certified Registered Nurse Anesthetist (crna) | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Joshua P Spartz | Certified Registered Nurse Anesthetist (crna) | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Street Address |
101 W 8TH AVE |
| City | SPOKANE |
| State | WA |
| Zip | 99204-2307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Dea | Physician Assistant | Spokane Emergency Physicians Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Mary C Smith | Thoracic Surgery | Providence Health and Services-wa | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Rita A Davis | Nurse Practitioner | Spokane Emergency Physicians Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Abdelrahman Fouad Ahmed Beltagy | Neurology | Providence Health and Services Washington | 101 W 8th Ave, Fl 3 North, Spokane, WA 99204-2307 |
| Christopher Scott Coons | Hospitalist | Providence Health and Services Washington | 101 W 8th Ave, 3rd Floor East, Spokane, WA 99204-2307 |
| Joshua S Adams | Certified Registered Nurse Anesthetist (crna) | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Kurt W Kohler | Physician Assistant | Providence Health and Services-wa | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Thomas A Satterfield | Anesthesiology | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Lesley Anne Cruz Portugal | Internal Medicine | Providence Health and Services Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Sara M Desmond | Nurse Practitioner | Providence Health and Services-wa | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth K Ohalloran | Family Practice | Providence Health and Services Washington | 105 E 8th Ave, Spokane, WA 99204 |
| Monica M Zherebtsov | Pediatric Medicine | Providence Health and Services Washington | 105 E 8th Ave, Suite 418, Spokane, WA 99204 |
| Mark P Guthrie | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Kathleen D Lavis | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Darcy A Kelly | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Lucy E Peterson | Plastic and Reconstructive Surgery | 105 W 8th Ave, Spokane, WA 99204-2300 | |
| Kellen Ross Gumm | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, 110 Northwest Heart and Lung Surgical Association, Spokane, WA 99204-2301 |
| Maria C Cassel | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Michelle Minyoung Rhee | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Anisha Boetel | Psychiatry | Providence Health and Services Washington | 105 W 8th Ave, Suite 450e, Spokane, WA 99204-2302 |
| Find all physicians in zip 99204 | |||
| City | SPOKANE |
| Zip Code | 99204 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SPOKANE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.