MR. MICHAEL ANDREW PETERSON (NPI# 1023087046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023087046 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANDREW PETERSON |
| Practice Address |
1615 Maple Lane Ashland WI 54806 |
| Mailing Address |
Po Box 1547 Sedalia MO 65307 |
| Practice Telephone | 7156824563 |
| Practice Fax Number | 7156855108 |
| Mailing Telephone | 6608265960 |
| Mailing Fax Number | 6608264852 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 80086030 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 44320400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
| 1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
| 1750651113 | Michael Peterson | Social Worker | 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 | 2012-01-03 |
| 1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
| 1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
| 1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
| 1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
| 1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
| 1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
| Street Address |
1615 MAPLE LANE |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617862 | Enrique Amin Africano | Obstetrics & Gynecology | 1615 Maple Lane, Ashland, WI 54806 | 2005-08-26 |
| 1093991739 | Amy Marie Berger | Physician Assistant | 1615 Maple Lane, Ashland, WI 54806 | 2008-01-11 |
| 1205028180 | Billy L Schouten | Registered Nurse | 1615 Maple Lane, Memorial Medical Center Inc Behavioral Health Service, Ashland, WI 54806 | 2007-08-14 |
| 1285826164 | Cheryl A Peterson | Registered Nurse | 1615 Maple Lane, Memorial Medical Center Inc Behavioral Health Service, Ashland, WI 54806 | 2007-08-14 |
| 1134311541 | Aanders Jarl Dommer | Family Medicine | 1615 Maple Lane, Ashland, WI 54806 | 2007-08-10 |
| 1386786754 | Camile D Sateren | Optometrist | 1615 Maple Lane, Ashland, WI 54806 | 2007-02-13 |
| 1528165081 | Joseph John Signorelli | Orthopaedic Surgery | 1615 Maple Lane, Ashland, WI 54806 | 2006-09-19 |
| 1003911603 | Justin Shawn Cummins | Orthopaedic Surgery | 1615 Maple Lane, Ashland, WI 54806 | 2006-09-14 |
| 1225050875 | Steven M Sampson | Family Medicine | 1615 Maple Lane, Ashland, WI 54806 | 2006-07-24 |
| 1033143375 | Anthony C Valentine | Physician Assistant | 1615 Maple Lane, Ashland, WI 54806-3610 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053334 | Kristen M Engstrom Crna LLC | Nurse Anesthetist, Certified Registered | 658 N Main St, Ashland, OR 97520-1710 | 2017-06-19 |
| 1013179373 | Richard A. Thomson | Nurse Anesthetist, Certified Registered | 280 Maple St., Ashland, OR 97520 | 2008-06-27 |
| 1689641094 | Mark E Troendle | Nurse Anesthetist, Certified Registered | 1101 Lexington Avenue, Ashland, KY 41101 | 2006-03-03 |
| 1043285034 | Vickie Lynn Blair | Nurse Anesthetist, Certified Registered | 2201 Lexington Avenue, Ashland, KY 41101 | 2006-02-22 |
| 1376514893 | James Marquart | Nurse Anesthetist, Certified Registered | 455 Liberty St, Ashland, OR 97520-3041 | 2006-02-01 |
| 1285617654 | Daniel Thomas Erchul | Nurse Anesthetist, Certified Registered | 280 Maple Street, Ashland, OR 97520 | 2005-11-21 |
| 1346859626 | Renee S Gibbs | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-07-23 |
| 1144846098 | Derek S. Hartman | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-06-17 |
| 1083239198 | Brandi L. Sperry | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-06-15 |
| 1639792351 | Catherine G Daniels | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-05-28 |
| Find all providers in ASHLAND | ||||
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| 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.