AARON M. PETERSEN (NPI# 1982680666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982680666 |
| Entity Type | Individual |
| Full Name | AARON M. PETERSEN |
| Credential | CRNA |
| Practice Address |
3125 Dr Russell Smith Way Anesthesia Dept Carthage MO 64836-7402 |
| Practice Telephone | 4173588121 |
| Practice Fax Number | 4172377240 |
| Mailing Telephone | 4173588121 |
| Mailing Fax Number | 4172377240 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2013-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2008010327 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200316420A | 05 | |
| MO | 917230708 | 05 | |
| MO | BLUE CROSS BLUE SHIELD OF KANSAS CITY | 35425022 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972575140 | Aaron M Petersen | Ophthalmology | 560 N Camino Mercado Ste 1, Casa Grande, AZ 85122-5759 | 2006-02-02 |
| 1972904332 | Aaron Petersen | Social Worker | 255 Revere Dr, Northbrook, IL 60062-1564 | 2014-09-04 |
| 1669614418 | Aaron Petersen | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2009-03-25 |
| Street Address |
3125 DR RUSSELL SMITH WAY ANESTHESIA DEPT |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570821 | Meghan Metzger | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2020-05-20 |
| 1356825384 | Jill A Parmley | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-09-15 |
| 1003300286 | Mercy Carthage Anesthesia | Anesthesiology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-06-20 |
| 1225587504 | Northstar Anesthesia of Kentucky II, Pllc | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-09-27 |
| 1710341250 | Ashley Diane Cobb | Dietitian, Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-04-11 |
| 1003201955 | Mercy Hospital Carthage | Psychiatry & Neurology | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1912392861 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1992196778 | Annette Noel Mense | Physician Assistant | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2015-02-14 |
| 1982018727 | Jared Wade Nichols | Neuromusculoskeletal Medicine & OMM | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2014-06-19 |
| 1841616349 | Randi S Norman | Physician Assistant | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| 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 |
|---|---|---|---|---|
| 1619436763 | Laura Keown | Nurse Anesthetist, Certified Registered | 700 Crabtree Rd, Carthage, NC 28327-8418 | 2019-03-18 |
| 1699164285 | Shaletra Jordan | Nurse Anesthetist, Certified Registered | 412 Overland St, Carthage, TX 75633-1820 | 2015-01-20 |
| 1073709010 | Carol Spence | Nurse Anesthetist, Certified Registered | 91 Lakeside Dr, Carthage, TN 37030-2387 | 2007-09-24 |
| 1083620264 | Jenny Beth Kimberly | Nurse Anesthetist, Certified Registered | 8401 N Rushville Rd, Carthage, IN 46115-9771 | 2006-07-31 |
| 1548221427 | Susan Dale Rogers | Nurse Anesthetist, Certified Registered | 480 Hutchinson Dr, Carthage, MS 39051-7588 | 2006-03-30 |
| 1952370207 | Donald Edward Beissel | Nurse Anesthetist, Certified Registered | 627 West Centennial, Carthage, MO 64836 | 2006-03-17 |
| 1417955329 | Tatiana P Mccuen | Nurse Anesthetist, Certified Registered | 205 Tuscarora Rd, Carthage, NC 28327-8985 | 2005-07-13 |
| 1184125908 | Carthage Hospital, LLC | Nurse Anesthetist, Certified Registered | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-27 |
| 1225587504 | Northstar Anesthesia of Kentucky II, Pllc | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-09-27 |
| 1770813776 | Jillian Evonne Mccartney | Nurse Anesthetist, Certified Registered | 1001 West St, Carthage, NY 13619-9703 | 2010-01-13 |
| Find all providers in CARTHAGE | ||||
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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.