AARON THOMAS PETERSON


Address: 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426
Phone: 7029424123

AARON THOMAS PETERSON (NPI# 1336126721) 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) 1336126721
Entity Type Individual
Full Name AARON THOMAS PETERSON
Credential M.D.
Practice Address 4101 Wagon Trail Ave
Las Vegas
NV 89118-4426
Mailing Address 1 Independence Pt Ste 202
Greenville
SC 29615-4536
Practice Telephone 7029424123
Practice Fax Number 7029424124
Mailing Telephone 8774062916
Enumeration Date 2005-12-27
Last Update Date 2013-01-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
036116322 IL Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
12283 NV Allopathic & Osteopathic Physicians
N 2471C3402X Radiologic Technologist
Specialization: Radiography
A82742 CA Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1336126721 05
RR MEDICARE P00440881 01

Other Providers AARON PETERSON

NPI Name Taxonomy Address Enumeration
1457545303 Aaron Michael Peterson Psychiatry & Neurology 9525 Katy Fwy Ste 138, Houston, TX 77024-1433 2007-09-04
1083211395 Aaron Oscar Peterson Student in an Organized Health Care Education/Training Program 1819 Carew St, Fort Wayne, IN 46805-4705 2020-10-08
1861040230 Aaron Stephen Peterson Physician Assistant 2600 Us Highway 70 W, Goldsboro, NC 27530-7779 2019-08-29
1366808370 Aaron Peterson Optometrist 2024 Ford Pkwy, Saint Paul, MN 55116-1931 2016-01-06
1124498324 Aaron Peterson Optometrist 650 Joel Dr, Fort Campbell, KY 42223-5318 2015-09-30
1679919690 Aaron Christopher Peterson Chiropractor 624 Cedar Lake Rd S, Minneapolis, MN 55405-1905 2013-05-16
1861648644 Aaron Jacob Peterson Dermatology 48 N 1100 E, American Fork, UT 84003-2910 2008-08-13

Office Location

Street Address 4101 WAGON TRAIL AVE
City LAS VEGAS
State NV
Zip Code 89118-4426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316920986 Sean Daly Beaty Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2005-11-28
1841709219 Shree Sainath LLC Pharmacy 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2017-09-28
1275083396 Ashkan Mousavinasab Pharmacist 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2016-10-12
1285908798 Sonoran Pharmacy Group Inc Pharmacy 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2012-03-01
1669553954 Shao-pow Lin Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2006-10-17
1982706974 Sunil Kumar Gujrathi Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2006-09-01
1861417792 Varoujan Kostanian Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2006-07-13
1508844713 David P Gorczyca Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2006-01-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720568520 Kurt Yaross Behavioral Analyst 7138 W Post Rd, #208, Las Vegas, NV 89118 2018-08-21
1619457108 Michelle Herzberg Behavioral Analyst 7318 W Post Rd #280, Las Vegas, NV 89118 2018-08-15
1548749385 Keisha Bere-ruiz Behavioral Analyst 7318 W Post Rd #208, Las Vegas, NV 89118 2018-08-13
1295222081 Aliantcare Radiologic Technologist 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 2018-04-17
1710406467 Anoush H. Tacvorian Do LLC Clinic/Center 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 2017-09-13
1962920470 Harvard Medtech, LLC Durable Medical Equipment & Medical Supplies 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 2017-09-05
1750827903 Kerry Cutler Nurse Practitioner 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 2017-01-12
1184173015 Girisgen & Kopolow Od PC Optometrist 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 2016-10-04
1396117859 Foundation for Positively Kids Clinic/Center 3555 E Reno, Ste F, Las Vegas, NV 89118 2015-10-23
1720492663 Kiet Michael Lam Chiropractor 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 2014-06-18
Find all providers in zip 89118

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346312642 Axiom Imaging of Las Vegas LLC Radiology 6460 Medical Center St, Ste. 150, Las Vegas, NV 89148-2406 2006-11-14
1265894208 He Xu Radiology 9260 W Sunset Rd Ste 201, Las Vegas, NV 89148-4903 2016-03-28
1740623818 Mark Barnett Johnson Radiology 2020 Palomino Ln Ste 100, Las Vegas, NV 89106-4894 2013-04-09
1407834435 Peter L Weidenfeld Radiology 3061 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2298 2006-01-09
1366420556 Steven Henry Davis Radiology 3061 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2298 2006-01-06
1255319463 Kelly Robert Gardner Radiology 3061 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2298 2006-01-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528589934 Omnivas Las Vegas LLC Radiology 3175 Saint Rose Pkwy Ste 121, Henderson, NV 89052-3507 2017-07-06
1891907085 Nadeer Pirani Radiology 1905 Mcdaniel St Ste 106, North Las Vegas, NV 89030-7170 2007-05-03
1548363070 Ralph Tinghan Ho Radiology 59 Damonte Ranch Pkwy Ste B104, Reno, NV 89521-1907 2006-09-07
1891271581 Vih Zeetser Pllc Radiology 375 N Stephanie St Ste 1011, Henderson, NV 89014-8901 2018-07-16
1619266632 Erik J. Maki Radiology 2874 N Carson St Ste 300, Carson City, NV 89706-1683 2011-03-30
1467472324 Thomas Barcia Radiology 1000 Locust St, Reno, NV 89502-2597 2006-07-20
1699763508 Eric Lawrence Goldberg Radiology 6490 S Mccarran Blvd, Ste 22, Reno, NV 89509-6102 2005-10-13

Competitor

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City LAS VEGAS
Zip Code 89118

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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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