MICHAEL E. ENNIS


Address: 1425 S Main St, Walnut Creek, CA 94596-5318
Phone: 9252954000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology G70960 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G709600 05

Other Providers MICHAEL ENNIS

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

Office Location

Street Address 1425 S MAIN ST
City WALNUT CREEK
State CA
Zip Code 94596-5318

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City WALNUT CREEK
Zip Code 94596

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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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