MR. RICHARD WALDEMAR PEDERSEN (NPI# 1326359050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326359050 |
| Entity Type | Individual |
| Full Name | MR. RICHARD WALDEMAR PEDERSEN |
| Credential | CRNA |
| Practice Address |
2120 N 57th Way Hollywood FL 33021-3827 |
| Practice Telephone | 9549660721 |
| Mailing Telephone | 9549660721 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2011-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP 1449122 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568593499 | Richard A Pedersen | Dentist | 2075 St Hwy 105, Grayland, WA 98547-0180 | 2007-03-09 |
| 1164493631 | Richard T Pedersen | Optometrist | 1625 E Platte Ave, Colorado Springs, CO 80909-5620 | 2006-01-31 |
| Street Address |
2120 N 57TH WAY |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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 |
|---|---|---|---|---|
| 1437708161 | Kyle Lehman | Nurse Anesthetist, Certified Registered | 3310 Roosevelt St, Hollywood, FL 33021-4949 | 2019-09-05 |
| 1902463037 | Certified Anesthesia Professional Associates | Nurse Anesthetist, Certified Registered | 9900 Stirling Rd #222, Hollywood, FL 33024-0100 | 2019-05-23 |
| 1588053045 | Jessica Rae Angel | Nurse Anesthetist, Certified Registered | 4109 Adams St, Hollywood, FL 33021-7366 | 2015-01-21 |
| 1790054849 | Georgia Brown Swick | Nurse Anesthetist, Certified Registered | 1556 Polk St Apt 4, Hollywood, FL 33020-5258 | 2011-12-19 |
| 1730302316 | Patsy Lorene Hill | Nurse Anesthetist, Certified Registered | 24516 Morgan Rd, Hollywood, MD 20636-2015 | 2007-04-11 |
| 1851344113 | Suzanne M Oliver | Nurse Anesthetist, Certified Registered | 4470 Sheridan Street, Hollywood, FL 33021-0000 | 2006-05-18 |
| 1477516789 | Charice Renel Zaehringer | Nurse Anesthetist, Certified Registered | 1115 Lincoln St, Hollywood, FL 33019-1128 | 2006-04-08 |
| 1215903448 | Barbara Sloan | Nurse Anesthetist, Certified Registered | 2671 E Saratoga Dr, Hollywood, FL 33026-5010 | 2006-02-27 |
| 1043209190 | Ruby J Allman | Nurse Anesthetist, Certified Registered | 5521 Polk St, Hollywood, FL 33021-6431 | 2005-10-20 |
| 1568015527 | Digestive Anesthesia Services Pa | Nurse Anesthetist, Certified Registered | 7369 Sheridan St Ste 300, Hollywood, FL 33024-2776 | 2019-07-18 |
| Find all providers in HOLLYWOOD | ||||
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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.