DR. AARON PETERSEN (NPI# 1669614418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669614418 |
Entity Type | Individual |
Full Name | DR. AARON PETERSEN |
Credential | MD |
Practice Address |
714 W Pine St Newport WA 99156-9046 |
Practice Telephone | 5094472441 |
Mailing Telephone | 5094472441 |
Enumeration Date | 2009-03-25 |
Last Update Date | 2019-11-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | MD60593091 | WA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | MD 60593091 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972575140 | Aaron M Petersen | Ophthalmology | 560 N Camino Mercado Ste 1, Casa Grande, AZ 85122-5759 | 2006-02-02 |
1982680666 | Aaron M. Petersen | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Anesthesia Dept, Carthage, MO 64836-7402 | 2005-12-15 |
1972904332 | Aaron Petersen | Social Worker | 255 Revere Dr, Northbrook, IL 60062-1564 | 2014-09-04 |
Street Address |
714 W PINE ST |
City | NEWPORT |
State | WA |
Zip Code | 99156-9046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023099397 | Timothy V Chavis | Surgery | 714 W Pine St, Newport, WA 99156-9046 | 2005-11-14 |
1497370878 | Catherine Donofrio | Physical Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2020-06-11 |
1184142606 | Brian Kevin Taft | Physician Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2017-09-05 |
1659807899 | Pend Oreille County Public Hospital District No. 1 | Clinic/Center | 714 W Pine St, Newport, WA 99156-9046 | 2017-05-09 |
1669918041 | Alissa Lorraine Schuster | Occupational Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2017-01-10 |
1316489941 | Sean Jacquay | Physical Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2016-11-14 |
1801268230 | Pend Oreille River Emergency Physicians Pllc | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2015-10-26 |
1548656267 | Tamera Jo Wells | Occupational Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2015-04-09 |
1225423908 | Steven Price | Physical Therapy Assistant | 714 W Pine St, Newport, WA 99156-9046 | 2015-03-31 |
1295129476 | Ali Loraine | Physical Therapist | 714 W Pine St, Newport, WA 99156-9046 | 2015-03-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720535297 | Newport Dental | Clinic/Center | 610 West Second St., Box 849, Newport, WA 99156 | 2016-09-01 |
1033665278 | Elisabeth Mackey | Nurse Practitioner | 704 West Pine Street, Newport, WA 99156 | 2016-08-28 |
1558764845 | Russell John Stephens | Dentist | 424 N. Warren Ave., Newport, WA 99156 | 2014-10-01 |
1215289285 | Mary Sue Siemsen | Speech-Language Pathologist | 1201 W. 5th Street, Newport, WA 99156 | 2012-10-15 |
1699027797 | Denise Anderson | Registered Nurse | 1380 W. 5th Street, Newport, WA 99156 | 2012-10-12 |
1174840532 | Tina Diane Vanzandt | Counselor | 405 W Walnut St Ste 3, Newport, WA 99156 | 2010-04-26 |
1447415252 | Carol Townley | Social Worker | 105 S Garden Avenue, Box 5055, Newport, WA 99156 | 2008-07-21 |
1992912117 | Lois A. Robertson | Massage Therapist | 322 South Washington Avenue, Newport, WA 99156 | 2007-05-17 |
1740312073 | Amber Lyne Salesky | Massage Therapist | 601 Hwy 20, Newport, WA 99156 | 2007-03-12 |
1124159900 | Pend Oreille County Public Hospital District No 1 | Clinic/Center | 100 S Scott, Newport, WA 99156 | 2007-03-07 |
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Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457393902 | Ashley W Forsyth | Emergency Medicine | 1211 Sw Bay St, Unit B, Newport, OR 97365-4843 | 2006-06-11 |
1093782963 | Constantino Diaz Miranda | Emergency Medicine | 435 2nd Street, Newport, TN 37821-3703 | 2006-03-01 |
1801268230 | Pend Oreille River Emergency Physicians Pllc | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2015-10-26 |
1821478611 | Cody Conard | Emergency Medicine | 1205 Mclain St, Newport, AR 72112-3533 | 2015-06-05 |
1477961308 | Audra Luz Kathleena Wisham | Emergency Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2014-07-23 |
1063823375 | Aaron Reinke | Emergency Medicine | 714 W Pine St, Newport, WA 99156 | 2014-05-09 |
1518387984 | Curtis Gill | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2014-04-23 |
1144648494 | David Pinckney | Emergency Medicine | 189 Prouty Dr, Newport, VT 05855-9326 | 2014-04-03 |
1093137812 | Summit Medical Group, Inc. | Emergency Medicine | 1400 Grand Avenue, Newport, KY 41071-2570 | 2014-01-14 |
1285071274 | Nathanial Clifford Lilya | Emergency Medicine | 714 W Pine St, Newport, WA 99156 | 2013-05-30 |
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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.