Forrest R Peterson (NPI# 1528531795, PAC ID# 8921347709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1528531795 |
| PAC ID by PECOS | 8921347709 |
| Professional Enrollment ID | I20190222002412 |
| Full Name | Forrest R Peterson |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF BOISE, P.A. |
| Address |
190 E Bannock St Boise ID 83712-6241 |
| Phone Number | 2083812222 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2668385287 |
| Number of Group Practice Members | 129 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 190 E Bannock St, Boise, ID 83712-6241 | 2083812222 | ANESTHESIA ASSOCIATES OF BOISE, P.A. |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF BOISE, P.A. |
| Physicians | 138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steve F Wilstead | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 500 S Eagle Rd, Meridian, ID 83642-6308 |
| Douglas C Neurath | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| David P Hansen | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Jesse D Vincent | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Steven J Love | Anesthesiology | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Robert E Cooks | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Stephen R Longo | Anesthesiology | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Melanie R Ahrens | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Clint Allred | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| David Phillips | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Street Address |
190 E BANNOCK ST |
| City | BOISE |
| State | ID |
| Zip | 83712-6241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Warren Schneider | Physician Assistant | Manning Neurosurgery, Pllc | 190 E Bannock St, St Lukes Reg Med Ctr, Boise, ID 83702-6241 |
| Darby Webb | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Derek L Martinez | Neurosurgery | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Mikias A Kebede | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Michelle R Livingston | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Robert F Adams | Pediatric Medicine | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Gregory S Harrison | Neurosurgery | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Laurie L Noe | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Don A Bell | Diagnostic Radiology | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Albert Kang | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casi M Wyatt | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Birgitt L Dau | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Thomas J Coffman | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Alexandra M Nielsen | Nurse Practitioner | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Camilla M Reese | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Jonathan S Salberg | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Nicole K Klein | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Michael R Smith | Nurse Practitioner | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Douglas C Neurath | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| David P Hansen | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Find all physicians in zip 83712 | |||
| City | BOISE |
| Zip Code | 83712 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BOISE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Forrest R Peterson.
| 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.