DAVID ALLEN PETERSON (NPI# 1699768382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699768382 |
| Entity Type | Individual |
| Full Name | DAVID ALLEN PETERSON |
| Credential | MD |
| Practice Address |
801 W Gordon St Thomaston GA 30286-3426 |
| Mailing Address |
Po Box 589 Thomaston GA 30286-0008 |
| Practice Telephone | 7066478111 |
| Practice Fax Number | 7066474389 |
| Mailing Telephone | 7066478111 |
| Mailing Fax Number | 7066474389 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 022458 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 708309 | 01 | |
| RAILROAD MEDICARE | P00160614 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1386070647 | David Michael Peterson | Pharmacist | 1200 W Gold St, Butte, MT 59701-2110 | 2013-09-18 |
| 1427336601 | David James Peterson | Physical Therapist | 59 Akea Pl, Kula, HI 96790-8501 | 2011-07-22 |
| 1386858942 | David Brian Peterson | Psychologist | 460 Oak St, Apt 115, Glendale, CA 91204-1265 | 2007-05-10 |
| 1851412241 | David Peterson | Chiropractor | 17331 Penn Valley Dr, Penn Valley, CA 95946-9340 | 2007-04-03 |
| 1487716783 | David Norman Peterson | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2006-12-14 |
| 1033279484 | David Eugene Peterson | Dentist | 17267 W 3rd St, Sddc, Redfield, SD 57469-1001 | 2006-12-08 |
| 1801968359 | David Scott Peterson | Psychiatry & Neurology | 1345 East 3900 South Ste 208, Salt Lake City, UT 84124-4416 | 2006-11-13 |
| 1104905272 | David Hedden Peterson | Social Worker | 222 9th Ave W, Alexandria, MN 56308-2221 | 2006-11-02 |
| 1932284031 | David Donald Peterson | Counselor | 318 E Main St # 106, Battle Ground, WA 98604-8508 | 2006-10-26 |
| Street Address |
801 W GORDON ST |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376630 | Upson County Hospital Inc | Psychiatry & Neurology | 801 W Gordon St, Thomaston, GA 30286-3426 | 2005-06-16 |
| 1205451275 | Felicia Annette Smith | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2020-06-15 |
| 1104456235 | Lisa Gaye Ingram | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2020-01-16 |
| 1699337527 | Jessica Evans Strickland | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2019-07-01 |
| 1750855417 | Brantley Lynn Standard | Family Medicine | 801 W Gordon St, Thomaston, GA 30286-3426 | 2019-01-16 |
| 1891296620 | Hightower Physician Services, PC | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2018-02-27 |
| 1790285815 | Hightower Emergency Group, PC | Physician Assistant | 801 W Gordon St, Thomaston, GA 30286-3426 | 2018-02-15 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
| 1649708090 | Jesse Edward Rogers IIi | Physician Assistant | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-05-30 |
| 1083064539 | Rachael L Sweeney | Registered Nurse | 801 W Gordon St, Thomaston, GA 30286-3426 | 2016-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295790772 | Stevens Yang | Anesthesiology | 801 W Gordon St, Thomaston, GA 30286-3426 | 2006-04-19 |
| 1225021918 | Mary Street Logan | Anesthesiology | 801 W Gordon St, Thomaston, GA 30286-3426 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1306463013 | Pain Spine Md LLC | Anesthesiology | 3993 Lawrenceville Hwy Nw Ste 115, Lilburn, GA 30047-2831 | 2020-06-29 |
| 1235754151 | Anesthesiologists for Dental Sedation LLC | Anesthesiology | 4151 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2020-06-16 |
| 1497370035 | Maria Gabriela Sanchez Gonzalez | Anesthesiology | 1120 15th St # Bi-2144, Augusta, GA 30912-0004 | 2020-06-09 |
| 1992325641 | Oconee River Anesthesia Associates | Anesthesiology | 1360 Caduceus Way Bldg 300, Watkinsville, GA 30677-7300 | 2020-04-23 |
| 1174085757 | Pain Physicians of America, LLC | Anesthesiology | 3333 Old Milton Parkway, Suite 400, Alpharetta, GA 30005-4437 | 2019-04-03 |
| 1215404892 | Seaworthy Anesthesia, LLC | Anesthesiology | 109 Worthing Rd, St Simons Island, GA 31522-1928 | 2018-10-31 |
| 1205318029 | At Your Service Anesthesia, LLC | Anesthesiology | 2056 W Park Place Blvd Ste F, Stone Mountain, GA 30087-3537 | 2018-08-29 |
| 1750877676 | Gastro Anesthesia Services | Anesthesiology | 4150 Dep Bill Cantrell Memorial Rd Ste 200, Cumming, GA 30040-3005 | 2018-07-03 |
| 1437644226 | Prathik Mudaliar Mudaliar | Anesthesiology | 11250 15th Street, Augusta, GA 30912-0001 | 2018-06-25 |
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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.