| Michael W Peterson, CRNA | |
|
2142 N Cove Blvd, Toledo, OH 43606-3895 | |
| (419) 531-8808 | |
| (419) 531-8877 |
| Full Name | Michael W Peterson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2142 N Cove Blvd, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447501028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN384491 (Ohio) | Primary |
| Entity Name | West Central Surgical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255578936 PECOS PAC ID: 5496709651 Enrollment ID: O20090420000203 |
| Entity Name | Amsurg Toledo Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053686071 PECOS PAC ID: 2668634593 Enrollment ID: O20120510000146 |
| Entity Name | West Central Surgical Center-bayside |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851789762 PECOS PAC ID: 2062724818 Enrollment ID: O20170113001319 |
| Entity Name | Jj Otting, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982136982 PECOS PAC ID: 7214206853 Enrollment ID: O20171128003850 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Peterson, CRNA 7071 W Central Ave, Toledo, OH 43617-2700 Ph: (419) 843-1370 | Michael W Peterson, CRNA 2142 N Cove Blvd, Toledo, OH 43606-3895 Ph: (419) 531-8808 |
Mr. John Scribner, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4452 Cullen Ln, Toledo, OH 43611 Phone: 419-215-6511 | |
Lyndsay Brentlinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-531-8808 Fax: 419-531-9342 | |
Gregory Halstead, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4524 Fax: 419-245-6018 | |
Ms. Jamie L Nash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-471-4491 Fax: 419-479-6905 | |
Christine Sophia Harwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 | |
Kellyn A Diller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4491 Fax: 419-479-6905 | |
Stacey Rissman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 |