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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1336126721 | 05 | |
RR MEDICARE | P00440881 | 01 |
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 |
Street Address |
4101 WAGON TRAIL AVE |
City | LAS VEGAS |
State | NV |
Zip Code | 89118-4426 |
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 |
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 Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
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. |
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 |
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 |
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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.