CAMERON SCOTT PETERSON


Address: 2430 W Pierce St, Carlsbad, NM 88220-3553
Phone: 5758874100

CAMERON SCOTT PETERSON (NPI# 1053827832) 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) 1053827832
Entity Type Individual
Full Name CAMERON SCOTT PETERSON
Credential CRNA
Practice Address 2430 W Pierce St
Carlsbad
NM 88220-3553
Mailing Address Po Box 1547
Sedalia
MO 65302-1547
Practice Telephone 5758874100
Mailing Telephone 6608265960
Mailing Fax Number 6608264852
Enumeration Date 2017-12-15
Last Update Date 2019-04-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered CRNA-01538 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 04536819 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 N Oak Ave, Marshfield, WI 544495703 7153875511

Other Providers CAMERON PETERSON

NPI Name Taxonomy Address Enumeration
1164604765 Cameron Glade Peterson Physical Medicine & Rehabilitation 1300 N 500 E, Logan, UT 84341-2408 2007-12-05

Office Location

Street Address 2430 W PIERCE ST
City CARLSBAD
State NM
Zip Code 88220-3553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194723494 Daniel Forest Taylor Family Medicine 2430 W Pierce St, Carlsbad, NM 88220-3553 2005-07-11
1740819762 Carlsbad Medical Center LLC Clinical Medical Laboratory 2430 W Pierce St, Carlsbad, NM 88220-3553 2020-04-02
1578027710 Cassandra Groves Registered Nurse 2430 W Pierce St, Carlsbad, NM 88220-3553 2019-01-22
1578046181 Cally Vetter Dietitian, Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2018-09-10
1992200141 Scott Christian Phillips Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2018-03-29
1467956862 Courtney Allison Wittkower Physical Therapist 2430 W Pierce St, Carlsbad, NM 88220-3597 2018-03-20
1073016549 Andrew Jason Costin Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2018-03-12
1184137093 Carlsbad Medical Center LLC Medicare Defined Swing Bed Unit 2430 W Pierce St, Carlsbad, NM 88220-3553 2017-11-14
1073036174 Devin Holt Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2017-07-20
1053783654 Julie Phelps Nurse Practitioner 2430 W Pierce St, Carlsbad, NM 88220-3553 2015-10-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083248991 Diana P Levy Nurse Anesthetist, Certified Registered Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 2020-02-29
1790333680 Angela Houston Nurse Practitioner 202 W. Church Street, Carlsbad, NM 88220 2019-09-03
1265958722 Amanda Henry Social Worker 3000, West Church Street, Carlsbad, NM 88220 2017-08-16
1952827610 Audriana B Martinez Physical Therapy Assistant 1038 Pinon Ln, Carlsbad, NM 88220 2017-08-15
1730538265 Amber Bojorquez Registered Nurse 406 N. Alameda St., Carlsbad, NM 88220 2016-06-06
1164887584 Kassandra Prutsman Specialist 126 S. Canyon, Carlsbad, NM 88220 2015-12-30
1306220314 Rocky Mountain Holdings, LLC Ambulance 1505 Terminal Dr, Carlsbad, NM 88220 2015-07-20
1578986402 Sheryl L Dugger Registered Nurse 406 N. Alameda, Carlsbad, NM 88220 2014-01-29
1194153106 Wellcare, Inc. Hospice Care, Community Based 220 S Canal St Ste B, Carlsbad, NM 88220 2013-10-30
1932537420 Wellcare, Inc Home Health 220 S Canal St Ste A, Carlsbad, NM 88220 2013-10-22
Find all providers in zip 88220

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy 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.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083248991 Diana P Levy Nurse Anesthetist, Certified Registered Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 2020-02-29
1356488811 Michael John Smith Nurse Anesthetist, Certified Registered 316 S James St, Carlsbad, NM 88220-6228 2007-01-31
1992200141 Scott Christian Phillips Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2018-03-29
1073016549 Andrew Jason Costin Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2018-03-12
1073036174 Devin Holt Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2017-07-20
1538550363 Joseph L Winterrowd Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2015-02-16
1366887259 Stephen M Freeborn Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2013-05-06
1174864680 Jonathan Wayne Barnett Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2013-03-07
1043555204 Carlsbad Anesthesia Services LLC Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2012-11-29
1194079806 Jeremy Shane Bison Nurse Anesthetist, Certified Registered 2430 W Pierce St, Carlsbad, NM 88220-3553 2012-11-01
Find all providers in CARLSBAD

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City CARLSBAD
Zip Code 88220

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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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