JACOB R PETERSON


Address: 1836 South Ave, La Crosse, WI 54601-5429
Phone: 6087827300

JACOB R PETERSON (NPI# 1235249442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235249442
Entity Type Individual
Full Name JACOB R PETERSON
Credential AA
Practice Address 1836 South Ave
La Crosse
WI 54601-5429
Practice Telephone 6087827300
Mailing Telephone 6087827300
Enumeration Date 2006-08-30
Last Update Date 2016-03-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers JACOB PETERSON

NPI Name Taxonomy Address Enumeration
1871515593 Jacob Aaron Peterson Chiropractor 434 N Star Rd, Holmen, WI 54636-4402 2006-07-24
1154939262 Jacob John Peterson Pharmacist 1825 Logan Ave, Waterloo, IA 50703-1916 2020-07-15
1720555055 Jacob Peterson Registered Nurse 811 Madison St, Everett, WA 98203-4543 2018-10-24
1295196384 Jacob Edward Peterson General Practice 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2016-03-16
1679954028 Jacob Christopher Peterson Family Medicine 983075 Nebraska Medical Ctr, Unmc Dept. of Family Medicine, Omaha, NE 68198-3075 2015-06-11
1912391475 Jacob Michael Peterson Counselor 7204 Skyway, Paradise, CA 95969-3280 2015-03-23
1841600137 Jacob Louis Peterson Case Manager/Care Coordinator 5667 S Redwood Rd, Taylorsville, UT 84123-5433 2014-05-07

Office Location

Street Address 1836 SOUTH AVE
City LA CROSSE
State WI
Zip Code 54601-5429

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952304834 Susan G Maclellan-tobert Pediatrics 1836 South Ave, La Crosse, WI 54601-5429 2005-05-24
1861099590 Ellen Compton Dietitian, Registered 1836 South Ave, La Crosse, WI 54601-5429 2020-10-06
1699382630 Jedd Sebion Pharmacist 1836 South Ave, La Crosse, WI 54601-5429 2020-09-24
1104436351 Taryn Jean Simon Speech-Language Pathologist 1836 South Ave, La Crosse, WI 54601-5429 2020-08-03
1497376438 Eva Igler Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-30
1568083608 Benjamin Haase Thompson Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-29
1316568736 Eric Bobel Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-27
1134749708 Kristin Danielle Heslep Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-23
1982224598 Rebecca Stanek Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-23
1609496595 Marie Gilberte Cineus Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891324265 Meagan Mcrae Student in an Organized Health Care Education/Training Program 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 2020-04-07
1255969671 Erin Dingman Student in an Organized Health Care Education/Training Program 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 2020-03-31
1619505047 Nicole Kay Lynch Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 2020-03-31
1174151757 Jenna Sells Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1740818301 Katie Irene Tahtinen Student in an Organized Health Care Education/Training Program Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 2020-03-30
1932737517 Margaret May Grimm Student in an Organized Health Care Education/Training Program Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1831727312 Matthew Timothy Axler Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1093340473 Denise Stinson Technician 1311 Badger St, Apt 505, La Crosse, WI 54601 2020-03-06
1922632397 Ibrahim Ahsan Pharmacist 1105 Wi-16, La Crosse, WI 54601 2020-02-25
1750913356 Liza R Collins Massage Therapist 1415 State Wi 16, La Crosse, WI 54601 2020-02-11
Find all providers in zip 54601

Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114550985 Matthew Gene Kopp Baker Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601-5429 2020-02-19
1629565668 Steven Robert Hofacker Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601 2018-04-16
1962910133 Joseph Matthew Navratil Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601-5429 2018-01-22
1043760358 Tia M Morrison Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601 2016-10-11
1124491998 Dylan Hartley Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601-5429 2015-11-02
1417338666 Emily Gutschenritter Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601-5429 2015-06-13
1477956894 Heather Marie Behn Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601-5429 2014-09-30
1043611320 Stewart Nicholas Heaton Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601-5429 2014-09-05
1851641120 Sarah Ann Harter Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601-5429 2012-09-14
1093062028 James Alexander Morrison Anesthesiologist Assistant 1836 South Ave, La Crosse, WI 54601-5429 2012-08-09
Find all providers in LA CROSSE

Competitor

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City LA CROSSE
Zip Code 54601

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Dataset Information

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.

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