Active NPI
Chad Garth Peterson, CRNA
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA0617
- Practice address
- 1800 E Van Buren St
Phoenix, AZ 85006-3742 - Phone
- (602) 251-8100
- NPI assigned
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA0617 | AZ | Primary |
Addresses
Primary practice location
1800 E Van Buren St
Phoenix, AZ 85006-3742
Mailing address
1754 E Balsam PL
Chandler, AZ 85286-2100
Phone (480) 772-9425
Other practice location 1
5300 Windflower Ln
Highlands Ranch, CO 80130-8938
Phone (303) 471-1490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090420000158 | AZ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547345761 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (623) 923-5000
Hospital & facility affiliations
- Abrazo Scottsdale Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA0617 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Anesthesia Solutions | Single Specialty | Current | Accepting new patients |
| Summit Anesthesia Services PLLC | Single Specialty | Current | Accepting new patients |
| Ascend Anesthesia LLC | Single Specialty | Current | Accepting new patients |
| Dec Anesthesia LLC | Single Specialty | Current | Accepting new patients |
| Anesthesia Partners & Management LLC | Single Specialty | Current | Accepting new patients |
| Gateway Anesthesia and Pain Associates PLLC | Single Specialty | Current | Accepting new patients |
| Pinnacle Global Health LLC | Past | Accepting new patients | |
| Mesa Az Endoscopy ASC LLC | Past | Accepting new patients |
Locations
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
1301 S Crismon Rd
#C
Mesa, AZ 85209
603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919
3100 Clearwater Dr
Ste B
Prescott, AZ 86305
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1821589144
AZ, Single Specialty
-
- Certified Registered Nurse Anesthetist
- Mesa, AZ
- NPI 1407642945
AZ, Single Specialty
-
- Pain Medicine Physician
- Mesa, AZ
- NPI 1710026125
AZ, Single Specialty
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
AZ, Single Specialty
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1770557233
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1114832417
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1659569341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1754 E BALSAM PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852862100",
"telephone_number": "480-772-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063742",
"telephone_number": "602-251-8100"
}
],
"practiceLocations": [
{
"address_1": "5300 Windflower Ln",
"address_purpose": "LOCATION",
"city": "Highlands Ranch",
"state": "CO",
"postal_code": "801308938",
"country_code": "US",
"telephone_number": "303-471-1490",
"fax_number": "303-471-1535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "CHAD",
"middle_name": "GARTH",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "CRNA0617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.