MICHAEL T PETERSEN (NPI# 1609849736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609849736 |
| Entity Type | Individual |
| Full Name | MICHAEL T PETERSEN |
| Credential | MD |
| Practice Address |
25 Main Pl Suite 425 Council Bluffs IA 51503-0792 |
| Practice Telephone | 7123225565 |
| Practice Fax Number | 7123225566 |
| Mailing Telephone | 7123225565 |
| Mailing Fax Number | 7123225566 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 28268 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 075051 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740602960 | Michael Petersen | Veterinarian | 5754 Nicollet Ave, Minneapolis, MN 55419-2415 | 2014-01-07 |
| 1407902307 | Michael James Petersen | Dentist | 3101 Old Highway 8, Suite #303, Roseville, MN 55113-1072 | 2007-01-25 |
| 1881798379 | Michael Charles Petersen | Pediatrics | 12356 Riata Trace Pkwy # 6006-b, Austin, TX 78727-6417 | 2006-09-12 |
| 1629005160 | Michael R Petersen | Ophthalmology | 2000 N Huron River Dr Ste 100, Ypsilanti, MI 48197 | 2006-06-28 |
| 1467428656 | Michael S Petersen | Orthopaedic Surgery | 2020 Sutter Pl, Suite 104, Davis, CA 95616-6213 | 2006-02-27 |
| 1639785579 | Michael Lee Petersen | Pharmacist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2020-09-16 |
| 1780248146 | Michael Jake Petersen | Student in an Organized Health Care Education/Training Program | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2019-04-30 |
| 1093182552 | Michael Petersen | Counselor | 1067 E Tabernacle St, Suite 7, Saint George, UT 84770-3163 | 2015-08-31 |
| 1972746931 | Michael G Petersen | Physician Assistant | 7201 Manchaca Rd, Ste B, Austin, TX 78745-5283 | 2009-04-07 |
| 1518974153 | Michael J Petersen | Podiatrist | 3922 Mercy Dr, Mchenry, IL 60050-3151 | 2006-08-02 |
| Street Address |
25 MAIN PL SUITE 425 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-0792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154438034 | James L Hawes | Nurse Anesthetist, Certified Registered | 25 Main Pl, Suite 425, Council Bluffs, IA 51503-0792 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| 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 |
|---|---|---|---|---|
| 1699986745 | Travis John Hayes | Anesthesiology | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2007-05-24 |
| 1295831378 | Heartland Anesthesiologist | Anesthesiology | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2006-09-15 |
| 1942273065 | Michael C Prescher | Anesthesiology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-02-09 |
| 1285607747 | Andrew E Huff | Anesthesiology | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2006-02-07 |
| 1881667350 | Tri H Tran | Anesthesiology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-02-07 |
| 1932172400 | Mark A Cade | Anesthesiology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659892446 | Medical Analgesic Services Inc | Anesthesiology | 3400 Dexter Ct Ste 200, Davenport, IA 52807-3463 | 2017-06-30 |
| 1154708170 | Benjamin Blaylock | Anesthesiology | 1901 Meadow Lark Dr, Polk City, IA 50226-1283 | 2015-04-28 |
| 1417362351 | Nicole Robertson | Anesthesiology | 1415 Ridge St, Iowa City, IA 52240-2720 | 2014-06-30 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1629399373 | Jolene M Smith | Anesthesiology | 12499 University Ave Ste 280, Clive, IA 50325-8288 | 2010-06-17 |
| 1932436904 | Bushra Nauman | Anesthesiology | 801 Fifth St, Anesthesia Dept, Spencer, IA 51102 | 2009-11-11 |
| 1619110426 | Corey James Stotts | Anesthesiology | 1440 S Grandview Ave, Dubuque, IA 52003-8733 | 2009-04-08 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1770745366 | Jerry Randal Hine | Anesthesiology | 235 S Park Ridge Rd, North Liberty, IA 52317-9808 | 2008-06-26 |
| 1629241906 | Pain Clinic LLC | Anesthesiology | 2180 Norcor Ave, Suite B, Coralville, IA 52241-9748 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.