RONALD KYLE PETERSEN (NPI# 1720598014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720598014 |
| Entity Type | Individual |
| Full Name | RONALD KYLE PETERSEN |
| Credential | CRNA |
| Practice Address |
1 Medical Center Boulevard Winston-salem NC 27103 |
| Mailing Address |
180 Rolling Meadow Ln Clemmons NC 27012-6744 |
| Practice Telephone | 3367162011 |
| Mailing Telephone | 7708429916 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 280909 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881900967 | Ronald D Petersen | Counselor | 143 Washington St, Limerick, ME 04048-3502 | 2010-08-26 |
| 1194830760 | Ronald Lee Petersen | Dentist | 104 North Main St, Charleston, MO 63834 | 2006-08-21 |
| 1295713030 | Ronald C Petersen | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-03 |
| 1225020514 | Ronald Raymond Petersen | Internal Medicine | 1111 Ne 99th Ave, Suite 201, Portland, OR 97220-9428 | 2005-08-22 |
| Street Address |
1 MEDICAL CENTER BOULEVARD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083161632 | Amy Lynn Good | Nurse Anesthetist, Certified Registered | 1 Medical Center Boulevard, Winston-salem, NC 27103 | 2016-09-01 |
| 1174917165 | Charles Choi | Internal Medicine | 1 Medical Center Boulevard, Winston-salem, NC 27103 | 2015-03-27 |
| 1104231315 | Matylda Mazur | Student in an Organized Health Care Education/Training Program | 1 Medical Center Boulevard, Wake Forest Baptist Medical Center, Winston-salem, NC 27103-0001 | 2014-06-25 |
| 1134481260 | Teresa Clements Cunningham | Student in an Organized Health Care Education/Training Program | 1 Medical Center Boulevard, Winston-salem, NC 21757 | 2012-06-14 |
| 1316189608 | Gavin Blair Gore | Radiology | 1 Medical Center Boulevard, Winston-salem, NC 27103-2705 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1437388949 | Emma Flippin Joyce | Nurse Anesthetist, Certified Registered | 145 Kimel Park Drive, Suite 120, Winston-salem, NC 27103-6983 | 2009-07-06 |
| 1093760043 | Kathleen R. Wren | Nurse Anesthetist, Certified Registered | Medical Center Drive, Nurse Anesthesia Program, Winston-salem, NC 27157-0001 | 2006-05-24 |
| 1538155403 | Karlynn Elizabeth Morgan | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 300, Winston-salem, NC 27103-6984 | 2005-09-26 |
| 1851876635 | Violjeta Bogoevski | Nurse Anesthetist, Certified Registered | 1 Medical Center Blvd., Winston-salem, NC 27103 | 2018-09-27 |
| 1205311081 | Nancy Cannon Cobb | Nurse Anesthetist, Certified Registered | 1 Medical Center Blvd, Winston-salem, NC 27103 | 2018-09-27 |
| 1255850707 | Darcy Dennison-harwood | Nurse Anesthetist, Certified Registered | 1 Medical Center Blvd, Winston-salem, NC 27127 | 2017-09-15 |
| 1932624681 | Ashley L Shaw | Nurse Anesthetist, Certified Registered | 145 Kimel Park Drive, Suite 120, Winston-salem, NC 27103-6983 | 2017-08-03 |
| 1083161632 | Amy Lynn Good | Nurse Anesthetist, Certified Registered | 1 Medical Center Boulevard, Winston-salem, NC 27103 | 2016-09-01 |
| 1871961573 | Daniel Smith | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2015-09-11 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
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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.