CAMERON SCOTT PETERSON (NPI# 1053827832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053827832 |
| Entity Type | Individual |
| Full Name | CAMERON SCOTT PETERSON |
| Credential | CRNA |
| Practice Address |
2430 W Pierce St Carlsbad NM 88220-3553 |
| Mailing Address |
Po Box 1547 Sedalia MO 65302-1547 |
| Practice Telephone | 5758874100 |
| Mailing Telephone | 6608265960 |
| Mailing Fax Number | 6608264852 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2019-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01538 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 04536819 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 N Oak Ave, Marshfield, WI 544495703 | 7153875511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164604765 | Cameron Glade Peterson | Physical Medicine & Rehabilitation | 1300 N 500 E, Logan, UT 84341-2408 | 2007-12-05 |
| Street Address |
2430 W PIERCE ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723494 | Daniel Forest Taylor | Family Medicine | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2005-07-11 |
| 1740819762 | Carlsbad Medical Center LLC | Clinical Medical Laboratory | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2020-04-02 |
| 1578027710 | Cassandra Groves | Registered Nurse | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2019-01-22 |
| 1578046181 | Cally Vetter | Dietitian, Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-09-10 |
| 1992200141 | Scott Christian Phillips | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-29 |
| 1467956862 | Courtney Allison Wittkower | Physical Therapist | 2430 W Pierce St, Carlsbad, NM 88220-3597 | 2018-03-20 |
| 1073016549 | Andrew Jason Costin | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-12 |
| 1184137093 | Carlsbad Medical Center LLC | Medicare Defined Swing Bed Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-11-14 |
| 1073036174 | Devin Holt | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-07-20 |
| 1053783654 | Julie Phelps | Nurse Practitioner | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| 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 |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1356488811 | Michael John Smith | Nurse Anesthetist, Certified Registered | 316 S James St, Carlsbad, NM 88220-6228 | 2007-01-31 |
| 1992200141 | Scott Christian Phillips | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-29 |
| 1073016549 | Andrew Jason Costin | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-12 |
| 1073036174 | Devin Holt | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-07-20 |
| 1538550363 | Joseph L Winterrowd | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2015-02-16 |
| 1366887259 | Stephen M Freeborn | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2013-05-06 |
| 1174864680 | Jonathan Wayne Barnett | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2013-03-07 |
| 1043555204 | Carlsbad Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2012-11-29 |
| 1194079806 | Jeremy Shane Bison | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2012-11-01 |
| Find all providers in CARLSBAD | ||||
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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.