Michael W Peterson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN384491 Issued in OH

Practice address

2142 N Cove Blvd
Toledo, OH 43606-3895

Phone

(419) 531-8808

Fax

(419) 531-8877

NPI assigned

Sep 24, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, DC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amsurg Toledo Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Toledo, OH
  • NPI 1053686071

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• West Central Surgical Center-Bayside

  • Certified Registered Nurse Anesthetist
  • Oregon, OH
  • NPI 1851789762

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• West Central Surgical Center, LLC

  • Certified Registered Nurse Anesthetist
  • Toledo, OH
  • NPI 1255578936

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ambulatory Anesthesia Associates LLC

  • Anesthesiology Physician
  • Alexandria, VA
  • NPI 1720192230

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northstar Anesthesia of Virginia, LLC

  • Anesthesiology Physician
  • Alexandria, VA
  • NPI 1194488791

  DC

  Medicare reassignment NPD
• West Central Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Toledo, OH
  • NPI 1538157037
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1447501028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172700",
            "telephone_number": "419-843-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-531-8808",
            "fax_number": "419-531-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN384491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna H Petersen, CRNA
• Amy Adelle Peterson, LPN
• Christina Peterson
• Kayla J Peterson, LSW
• Lindsay Michelle Peterson, MSW
• Rodney Peterson
• Shalonda Peterson
• Cal Elizabeth Petit Demange
• Michael Petit
• Sarah Petite

• Certified Registered Nurse Anesthetist in Toledo, OH
• Providers in Toledo, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.