MICHAEL PETRU CRNA
NPI 1124188354
Nurse Anesthetist, Certified Registered in Maryville, IL

Q: What is Michael Petru's NPI number?

The NPI number for Michael Petru is 1124188354. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Michael Petru's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Petru was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2006

6810 STATE ROUTE 162, SUITE 215, MARYVILLE, IL 62062(618) 288-5711 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Michael Petru Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PETRU CRNA (NPI 1124188354) is an individual nurse anesthetist, certified registered in Maryville, Illinois and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1124188354

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMICHAEL PETRUCredential: CRNA

Location Address6810 STATE ROUTE 162, SUITE 215Maryville, IL 62062-8501

Mailing Address1836 Lackland Hill Pkwy, Attnt Credentialing DepartSaint Louis, MO 63146-3572 · (314) 989-0300

Phone(618) 288-5711

Sole ProprietorNo

Enumeration DateDecember 11, 2006

Last NPPES UpdateFebruary 19, 2008

✔ NPI 1124188354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

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.

6810 STATE ROUTE 162, Maryville, IL 62062

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Other Identifiers 2

Medicaid340628294001IL

Medicare PINK11914IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY

Surgery (Vascular Surgery)

6810 STATE ROUTE 162, SUITE 100
MARYVILLE, IL 62062

Madison County (618) 334-2425

DR. GABRIEL CARDENAS JR. D.P.M.

Podiatrist (Foot & Ankle Surgery)

6810 STATE ROUTE 162, SUITE 20
MARYVILLE, IL 62062

Madison County (618) 288-2835

MICHAEL SOUTHWICK CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

MARK FEDDER, MD, PC

Internal Medicine (Gastroenterology)

6810 STATE ROUTE 162, SUITE 211
MARYVILLE, IL 62062

Madison County (618) 288-0346

JOSEPH HINES CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

DR. JAMES JOSEPH DALLA RIVA M.D.

Obstetrics & Gynecology

6810 STATE ROUTE 162, SUITE 301
MARYVILLE, IL 62062

Madison County (618) 288-5699

MARK SILVEY CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

FAIRVIEW HEIGHTS MEDICAL GROUP SC

Internal Medicine (Cardiovascular Disease)

6810 STATE ROUTE 162, SUITE 203
MARYVILLE, IL 62062

Madison County (618) 288-5076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Petru's NPI number?

The NPI number for Michael Petru is 1124188354. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Michael Petru located?

Michael Petru practices at 6810 State Route 162 Suite 215, Maryville, IL 62062. The listed phone number is (618) 288-5711.

What is Michael Petru's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Michael Petru was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.