CRAIG ALAN PETERSON (NPI# 1114412228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114412228 |
| Entity Type | Individual |
| Full Name | CRAIG ALAN PETERSON |
| Credential | CRNA |
| Practice Address |
515 22nd Ave Monroe WI 53566-1569 |
| Practice Telephone | 6083242000 |
| Mailing Telephone | 6083242000 |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
173873-30 | WI | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 173873-30 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649436452 | Craig Peterson | Chiropractor | 613 S Bluff Street, Twr 1, Suite 400, St George, UT 84770-3853 | 2008-07-31 |
| 1588698641 | Craig Stuart Peterson | Psychologist | 410 Arden Ave, Suite 201, Glendale, CA 91203-4006 | 2006-07-11 |
| 1619923844 | Craig Raymond Peterson | Internal Medicine | 19725 South Greeno Road, Fairhope, AL 36532-3843 | 2006-05-26 |
| 1598739054 | Craig Arthur Peterson | Urology | 1550 B East Niagara Rd, Montrose, CO 81401-5027 | 2006-02-13 |
| 1437644903 | Craig Peterson | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-27 |
| 1740650076 | Craig Peterson | Acupuncturist | 1570 N 115th St, Seattle, WA 98133-8401 | 2015-09-29 |
| 1467715474 | Craig A. Peterson | Dentist | 6226 14th Ave, Kenosha, WI 53143-4413 | 2012-06-25 |
| 1932421500 | Craig Neil Peterson | Pharmacist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-02-23 |
| 1922128404 | Craig Albert Peterson | Dentist | 1504 4th St Ne, Waseca, MN 56093 | 2007-03-30 |
| 1396888640 | Craig A Peterson | Ophthalmology | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-15 |
| Street Address |
515 22ND AVE |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354553 | Mark W. Collar | Anesthesiology | 515 22nd Ave, Monroe Clinic, Monroe, WI 53566-1569 | 2005-11-23 |
| 1316546724 | Melissa Anne Anderson | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-19 |
| 1356949382 | Olivia Caroline Lemanski | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-12 |
| 1023620382 | Katelyn Rebecca Marie Neverman | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-08-18 |
| 1619586393 | Lauren Marie Shawl | Social Worker | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-28 |
| 1508484676 | Ashley Moore | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-06 |
| 1164043584 | Erica Yumi Yamamoto | Student in an Organized Health Care Education/Training Program | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-04-27 |
| 1982231668 | Scott Soja | Specialist/Technologist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-24 |
| 1942835707 | Daniel Douglas Troutner | Physician Assistant | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-11 |
| 1649817222 | Samuel A. Cook | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| 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 |
|---|---|---|---|---|
| 1215568340 | Complete Ketamine Inc | Nurse Anesthetist, Certified Registered | 98 Winchester St, Monroe, MI 48161-1957 | 2020-01-28 |
| 1710374012 | Jessica D Szydlowski | Nurse Anesthetist, Certified Registered | 1212 E Mombasha Rd, Monroe, NY 10950-5615 | 2015-04-24 |
| 1407151913 | Dustin Cole Broussard | Nurse Anesthetist, Certified Registered | 312 Grammont St Ste 100, Monroe, LA 71201-7457 | 2011-01-13 |
| 1255560009 | Christopher Michael Ward | Nurse Anesthetist, Certified Registered | 6713 Luther Ln, Monroe, NC 28112-8500 | 2009-07-14 |
| 1073701355 | Olga V. Halstead | Nurse Anesthetist, Certified Registered | 3980 W Albain Rd, Monroe, MI 48161-9555 | 2007-10-11 |
| 1184779431 | Marti Melinda Martin | Nurse Anesthetist, Certified Registered | 3421 Medical Park Dr., Monroe, LA 71203 | 2007-01-25 |
| 1346324670 | Delvin Joseph Price Jr. | Nurse Anesthetist, Certified Registered | 2229 Hwy139, Monroe, LA 71203-0614 | 2006-10-24 |
| 1144323726 | Heather Dianne Duty | Nurse Anesthetist, Certified Registered | 312 Grammont St Ste 101, Monroe, LA 71201-7403 | 2006-09-07 |
| 1508975517 | Brenda Rutledge-hilburn | Nurse Anesthetist, Certified Registered | 2108 Island Dr, Monroe, LA 71201-2521 | 2006-08-30 |
| 1699798611 | Scott Coddington | Nurse Anesthetist, Certified Registered | 5623 E Dunbar Rd, Monroe, MI 48161-9127 | 2006-07-25 |
| Find all providers in MONROE | ||||
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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.