Active NPIIndividual provider

Michael P Ennis, CRNA

Nurse Anesthetist, Certified Registered in Weymouth, Massachusetts

NPI Number1346241288
Practice location
55 Fogg RD, Weymouth, MA 02190-2432
Fax
—
Last updated
December 9, 2024

Michael P Ennis is a Nurse Anesthetist, Certified Registered based in Weymouth, MA. Michael P Ennis practices in Weymouth, MA and has the professional credentials of CRNA. The NPI Number for Michael P Ennis is 1346241288 and holds a License No. 213881 (MA). The current practice location address for Michael P Ennis is 55 Fogg RD, Weymouth, MA 02190-2432 and can be reached out via phone at 781-624-8000.

Provider Profile Details

NPI Number
1346241288
Provider Name
Michael P Ennis
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
55 Fogg RD, Weymouth, MA 02190-2432
Phone Number
781-624-8000
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
August 2, 2005
Last Update Date
December 9, 2024
Certification Date
December 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
Weymouth, MA 02190-2432
Zip
02190-2432
Phone Number
781-624-8000
Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
3645 Slayton Ave
North Port, FL 34286-4211
City
North Port
State
FL
Zip
34286-4211
Phone Number
401-486-8969

License Information

License Number (1)
213881
License State (1)
MA
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
11011995
License State (2)
FL
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael P Ennis, CRNA?

The NPI number of Michael P Ennis, CRNA is 1346241288. It was assigned on August 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Michael P Ennis, CRNA?

Michael P Ennis, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number 213881.

Where does Michael P Ennis, CRNA practice?

The practice location is 55 Fogg RD, Weymouth, MA 02190-2432. The office can be reached at 781-624-8000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346241288 directly on the NPPES registry website.

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