MARK L PETERSEN (NPI# 1952489197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952489197 |
| Entity Type | Individual |
| Full Name | MARK L PETERSEN |
| Credential | MD |
| Practice Address |
1945 E 17th St Idaho Falls ID 83404-6429 |
| Mailing Address |
Po Box 52180 Idaho Falls ID 83405-2180 |
| Practice Telephone | 2085291945 |
| Mailing Telephone | 2085234906 |
| Mailing Fax Number | 2085232025 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | M4885 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780871160 | Mark Alan Petersen | Pediatrics | 533 Parnassus Ave Rm U-503, San Francisco, CA 94143-0734 | 2007-09-28 |
| 1487727897 | Mark Thomas Petersen | Chiropractor | 7 Rochester Hill Rd, Rochester, NH 03867-3212 | 2006-11-15 |
| 1881647543 | Mark Irwin Petersen | Internal Medicine | 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 | 2006-05-17 |
| 1295181097 | Mark Petersen | Physical Therapist | 601 E 7th St, Platte, SD 57369-2123 | 2016-05-11 |
| 1548608649 | Mark Eugene Petersen | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2013-06-11 |
| 1255470365 | Mark S Petersen | Dentist | 7 Elm St, Coxsackie, NY 12051-1301 | 2007-02-05 |
| 1861551293 | Mark Linton Petersen | Counselor | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2006-12-08 |
| Street Address |
1945 E 17TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003994237 | Idaho Falls Surgical Center | Nurse Anesthetist, Certified Registered | 1945 E 17th St, Idaho Falls, ID 83404-6429 | 2006-11-02 |
| 1457658668 | Surgery Center Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1945 E 17th St, Idaho Falls, ID 83404-6429 | 2011-02-24 |
| 1821303298 | Idaho Falls Surgical Center | Durable Medical Equipment & Medical Supplies | 1945 E 17th St, Idaho Falls, ID 83404-6429 | 2010-08-10 |
| 1952568099 | Idaho Falls Surgical Center | Nurse Anesthetist, Certified Registered | 1945 E 17th St, Idaho Falls, ID 83404-6429 | 2008-05-16 |
| 1053481218 | Idaho Falls Surcigal Center | Clinic/Center | 1945 E 17th St, Idaho Falls, ID 83404-6429 | 2006-11-08 |
| 1366511420 | Greg Dell Nebeker | Nurse Anesthetist, Certified Registered | 1945 E 17th St, Idaho Falls, ID 83404-6429 | 2006-11-06 |
| 1386722429 | Jon F Champlin | Nurse Anesthetist, Certified Registered | 1945 E 17th St, Idaho Falls, ID 83404-6429 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| 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 |
|---|---|---|---|---|
| 1275723058 | Zoe Interventional Pain Management, LLC | Anesthesiology | 1341 E 17th St, Idaho Falls, ID 83404-6235 | 2007-07-27 |
| 1972718658 | Barry Beutler | Anesthesiology | 1975 Martha Ave Ste B, Idaho Falls, ID 83404-7580 | 2007-05-14 |
| 1326514407 | Crc Anesthesia Pllc | Anesthesiology | 3310 Valencia Dr, Idaho Falls, ID 83404-7502 | 2018-10-16 |
| 1679967053 | Mvh Anesthesia, LLC | Anesthesiology | 2325 Coronado St, Idaho Falls, ID 83404-7407 | 2015-03-24 |
| 1457527772 | Jason Michael Poston | Anesthesiology | 2375 E Sunnyside Rd, Suite 'j', Idaho Falls, ID 83404-8280 | 2008-05-06 |
| 1871761395 | Eagle Rock Anesthesia, Pllc | Anesthesiology | 2325 Coronado St, Idaho Falls, ID 83404-7407 | 2008-02-19 |
| 1912046913 | Alan Jake Poulter | Anesthesiology | 2375 E Sunnyside Rd, Ste J, Idaho Falls, ID 83404-8280 | 2007-02-06 |
| 1568540706 | Steven V Klippert | Anesthesiology | 1975 Martha Ave, Ste. B, Idaho Falls, ID 83404-7580 | 2006-11-02 |
| 1073606638 | Don Weber | Anesthesiology | 3100 Channing Way, Idaho Falls, ID 83404 | 2006-10-02 |
| 1912937863 | Robert T Harris | Anesthesiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-07-04 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on MARK L PETERSEN.
| 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.