Organization Active NPI

Peterson Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Girard, KS
National Provider Identifier
1497725477
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PETERSON ANESTHESIA INC
Practice address
302 North Hospital Drive
Girard, KS 66743
Phone
(620) 724-8291
NPI assigned
Jan 24, 2006
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Jeannie Marie Peterson, CRNA
Title
Crna
Phone
(620) 724-8921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

302 North Hospital Drive
Girard, KS 66743

Mailing address

PO Box 388
Newton, KS 67114-0388
Phone (316) 281-3700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1497725477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140388",
            "telephone_number": "316-281-3700",
            "fax_number": "316-282-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NORTH HOSPITAL DRIVE",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "66743",
            "telephone_number": "620-724-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "620-724-8921",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.