PETER J BOOSALIS (NPI# 1174577316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174577316 |
| Entity Type | Individual |
| Full Name | PETER J BOOSALIS |
| Credential | MD |
| Practice Address |
927 Churchill St W Stillwater MN 55082-6605 |
| Mailing Address |
14700 28th Ave N Suite 20 Plymouth MN 55447-4835 |
| Practice Telephone | 6514304585 |
| Mailing Telephone | 7635593779 |
| Mailing Fax Number | 7634503986 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 41145 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
927 CHURCHILL ST W |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209911 | Patrick John Brod | Family Medicine | 927 Churchill St W, Stillwater, MN 55082-6605 | 2005-07-20 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1659725398 | Kelsey Rae Morinville | Nurse Anesthetist, Certified Registered | 927 Churchill St W, Stillwater, MN 55082 | 2016-04-19 |
| 1760861108 | Gregory Schad | Pharmacist | 927 Churchill St W, Stillwater, MN 55082-6605 | 2015-05-19 |
| 1598084956 | Jennifer Lynn Boklewski | Emergency Medicine | 927 Churchill St W, Stillwater, MN 55082-6605 | 2010-05-25 |
| 1003132440 | Anika Schulte Phillips | Registered Nurse | 927 Churchill St W, Stillwater, MN 55082-6605 | 2010-04-09 |
| 1306076260 | Alison Wing | Internal Medicine | 927 Churchill St W, Stillwater, MN 55082-6605 | 2009-07-24 |
| 1285862045 | Casey Woster | Emergency Medicine | 927 Churchill St W, Stillwater, MN 55082-6605 | 2009-06-30 |
| 1689812604 | Kathleen M Dorwart | Pharmacist | 927 Churchill St W, Stillwater, MN 55082-6605 | 2009-01-29 |
| 1265670319 | Laura M Eryou | Pharmacist | 927 Churchill St W, Stillwater, MN 55082-6605 | 2009-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043229354 | Roy Niels Skousen | Anesthesiology | 2112 Copperfield, Stillwater, OK 74074-2187 | 2006-08-05 |
| 1295702215 | Monte Norgaard | Anesthesiology | 12747 53rd St N, Stillwater, MN 55082-1051 | 2006-03-08 |
| 1942679600 | Monte Norgaard Md Pa | Anesthesiology | 12747 53rd St N, Stillwater, MN 55082-1051 | 2015-09-23 |
| 1013955350 | Mark D Wojtowicz | Anesthesiology | 927 Churchill St W, Stillwater, MN 55082-6605 | 2006-06-02 |
| 1538112743 | Valley Anesthesiology Consultants, P.a. | Anesthesiology | 927 Churchill St W, Stillwater, MN 55082-6605 | 2006-05-18 |
| 1629048186 | David Kerr | Anesthesiology | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-01-25 |
| 1265402721 | Jack Shearer | Anesthesiology | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-01-25 |
| 1083684237 | Inge Hayes | Anesthesiology | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-01-23 |
| 1386614501 | Elizabeth Biernat | Anesthesiology | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-01-23 |
| 1922078047 | Richard G Darby Md Inc | Anesthesiology | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-01-23 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on PETER J BOOSALIS.
| 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.