ERIC JULIAN PETERSON (NPI# 1265436059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265436059 |
| Entity Type | Individual |
| Full Name | ERIC JULIAN PETERSON |
| Credential | CRNA,MSN |
| Practice Address |
301 Becker Ave Sw Willmar MN 56201-3302 |
| Mailing Address |
1011 15th Ave Nw Willmar MN 56201-2138 |
| Practice Telephone | 3202314120 |
| Mailing Telephone | 3202141222 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2014-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 53163, R131880-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1497250252 | Eric Lee Peterson | Student in an Organized Health Care Education/Training Program | 740 S Limestone Room C301, Lexington, KY 40536-0293 | 2018-03-26 |
| 1396978458 | Eric Warren Peterson | Dentist | 1101 Higrove Pkwy, Suite 105, Leeds, AL 35094-1700 | 2009-08-24 |
| 1689832628 | Eric Peterson | Dentist | 710 N Beaver St Bldg 4, Flagstaff, AZ 86001-3139 | 2008-05-27 |
| 1710955877 | Eric M Peterson | Family Medicine | 1115 S Marshall St, Boone, IA 50036-5304 | 2006-03-14 |
| 1194346858 | Eric Dunham Peterson | Social Worker | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-05-04 |
| 1215598545 | Eric Peterson | Internal Medicine | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2019-06-26 |
| 1780111682 | Eric Christopher Peterson | Respiratory Therapist, Registered | 2435 Us Highway 19 Ste 300, Holiday, FL 34691-3909 | 2017-05-23 |
| 1376938043 | Eric Peterson | Orthopaedic Surgery | 525 E Market St, Summa Health System/orthopaedic Surgery Residency, Akron, OH 44309 | 2015-03-31 |
| 1861806796 | Eric Peterson | Internal Medicine | 2811 Tieton Dr, Yakima, WA 98902 | 2014-06-18 |
| Street Address |
301 BECKER AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798131 | Nathan Goracke | Pharmacist | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2020-10-19 |
| 1063049955 | Amanda Marie Thompson | Pharmacist | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2020-03-23 |
| 1144874157 | Megan J Shelton | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2019-07-29 |
| 1952887531 | Brittany Hattie Frank | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-07-17 |
| 1003323304 | Kaylene Nichole Hill | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-01-08 |
| 1023521572 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1003329574 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1134632680 | Carris Health LLC | Social Worker | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1306359856 | Carris Health LLC | Hospice Care, Community Based | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1689186207 | Alexandra Malkuch | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| 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 |
|---|---|---|---|---|
| 1003323304 | Kaylene Nichole Hill | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-01-08 |
| 1689186207 | Alexandra Malkuch | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-05 |
| 1053747667 | James Malkuch | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2013-09-16 |
| 1336312388 | Rice Memorial Hospital | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2008-04-10 |
| 1356542815 | Charles Haupert II | Nurse Anesthetist, Certified Registered | 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 2007-05-30 |
| 1972626703 | Shane Paul Volk | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2007-04-08 |
| 1083758189 | Rice Memorial Hospital | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2007-02-20 |
| 1669551974 | Jay E Loeppke | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2006-11-06 |
| 1922191758 | Ross Edwin Malkuch | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2006-10-02 |
| 1114023967 | Kimberly Diane Rupp-montpetit | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2006-09-16 |
| Find all providers in WILLMAR | ||||
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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.