Gerald C Pedersen (NPI# 1093758716, PAC ID# 3577509140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1093758716 |
| PAC ID by PECOS | 3577509140 |
| Professional Enrollment ID | I20050705000849 |
| Full Name | Gerald C Pedersen |
| Organization Legal Name | DIVERSIFIED PROFESSIONALS, INC. |
| Address |
6300 Main St Zachary LA 70791-4037 |
| Phone Number | 2256584337 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1985 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0446356463 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190020 | LANE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6300 Main St, Zachary, LA 70791-4037 | 2256584337 | DIVERSIFIED PROFESSIONALS, INC. |
| Organization Legal Name | DIVERSIFIED PROFESSIONALS, INC. |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney D Passman | Certified Registered Nurse Anesthetist (crna) | Diversified Professionals, Inc. | 7301 Hennessy Blvd, Suite 100, Baton Rouge, LA 70808-4793 |
| Sanyo Tsai | Anesthesiology | Diversified Professionals, Inc. | 7301 Hennessy Blvd, Suite 100, Baton Rouge, LA 70808-4793 |
| Callie S Dorn | Certified Registered Nurse Anesthetist (crna) | Diversified Professionals, Inc. | 17000 Medical Ctr Dr, Baton Rouge, LA 70816-3246 |
| Kathryn Tetreault | Certified Registered Nurse Anesthetist (crna) | Diversified Professionals, Inc. | 17000 Medical Ctr Dr, Baton Rouge, LA 70816-3246 |
| Michael G Johnson Jr. | Certified Registered Nurse Anesthetist (crna) | Diversified Professionals, Inc. | 17000 Medical Ctr Dr, Baton Rouge, LA 70816-3246 |
| Korey D Willmann | Anesthesiology | Diversified Professionals, Inc. | 7301 Hennessy Blvd, Suite 100, Baton Rouge, LA 70808-4793 |
| Amy T David | Certified Registered Nurse Anesthetist (crna) | Diversified Professionals, Inc. | 7301 Hennessy Blvd, Suite 100, Baton Rouge, LA 70808-4793 |
| Michael B Dunn Ii | Anesthesiology | Diversified Professionals, Inc. | 17000 Medical Ctr Dr, Baton Rouge, LA 70816-3246 |
| Jennifer N Sciacca | Certified Registered Nurse Anesthetist (crna) | Diversified Professionals, Inc. | 7301 Hennessy Blvd, Suite 100, Baton Rouge, LA 70808-4793 |
| Kasey K Jones | Certified Registered Nurse Anesthetist (crna) | Diversified Professionals, Inc. | 17000 Medical Ctr Dr, Baton Rouge, LA 70816-3246 |
| Street Address |
6300 MAIN ST |
| City | ZACHARY |
| State | LA |
| Zip | 70791-4037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne Nicole Gautreaux | Obstetrics/gynecology | Hospital Service District 1 of East Baton Rouge Parish | 6300 Main St, Zachary, LA 70791-4037 |
| Krunal H Patel | Gastroenterology | Hospital Service District 1 of East Baton Rouge Parish | 6300 Main St, Zachary, LA 70791-4037 |
| Nayan Agarwal | Interventional Cardiology | Hospital Service District 1 of East Baton Rouge Parish | 6300 Main St, Zachary, LA 70791-4037 |
| Jeremy S Dedeaux | Nurse Practitioner | Hospital Service District 1 of East Baton Rouge Parish | 6300 Main St, Zachary, LA 70791-4037 |
| Keith B Elbourne | Obstetrics/gynecology | Hospital Service District 1 of East Baton Rouge Parish | 6300 Main St, Zachary, LA 70791-4037 |
| Brent L Mazoch | Emergency Medicine | East Baton Rouge Emergency Physicians Group, LLC | 6300 Main St, Zachary, LA 70791-4037 |
| Brent M Giuffre | Emergency Medicine | East Baton Rouge Emergency Physicians Group, LLC | 6300 Main St, Zachary, LA 70791-4037 |
| Ashley Thompson | Nurse Practitioner | East Baton Rouge Emergency Physicians Group, LLC | 6300 Main St, Zachary, LA 70791-4037 |
| Heather Y Olaughlin | Qualified Audiologist | Hospital Service District 1 of East Baton Rouge Parish | 6300 Main St, Zachary, LA 70791-4037 |
| Reagan E Elkins | Family Medicine | Hospital Service District 1 of East Baton Rouge Parish | 6300 Main St, Zachary, LA 70791-4037 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen James Mayronne Jr. | Physical Therapy | Kleinpeter Physical Therapy, LLC | 1219 Church St, Zachary, LA 70791-2347 |
| Karl L Kleinpeter | Physical Therapy | Kleinpeter Physical Therapy, LLC | 1219 Church St, Zachary, LA 70791-2347 |
| Amber R Anderson | Physical Therapy | Kleinpeter Physical Therapy, LLC | 1219 Church St, Zachary, LA 70791-2347 |
| John W Thompson | Physical Therapy | Kleinpeter Physical Therapy, LLC | 1219 Church St, Zachary, LA 70791-2347 |
| Nicole Monique Halkovic | Chiropractic | 1121 Church St, Suite B, Zachary, LA 70791-2377 | |
| Stephanie Skinner | Clinical Social Worker | 4787 Waywood Dr C, Zachary, LA 70791-2465 | |
| Thomas J Gould | Family Medicine | Hospital Service District 1 of East Baton Rouge Parish | 2335 Church St E, Lane Family Practice, Zachary, LA 70791-2700 |
| Ronnie E Mathews | Orthopedic Surgery | 2335 Church St, Suite B, Zachary, LA 70791-2700 | |
| Michael K Amacker | Family Medicine | Hospital Service District 1 of East Baton Rouge Parish | 2335 Church St E, Lane Family Practice, Zachary, LA 70791-2700 |
| Michael Bradford Jelks | Optometry | Eye Care and Cosmetic Center, LLC | 2421 Church St, Zachary, LA 70791-2710 |
| Find all physicians in zip 70791 | |||
| City | ZACHARY |
| Zip Code | 70791 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ZACHARY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Gerald C Pedersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.