JOHN C. PETERSEN CRNA
NPI 1619075686
Nurse Anesthetist, Certified Registered in Du Bois, PA
NPI Status: Active since September 21, 2006
Contact Information
100 HOSPITAL AVE
DU BOIS, PA
ZIP 15801
Phone: (814) 371-2200
Fax: (814) 375-3384
- Individual
- Male
- Nurse Anesthetist, Certified Registered
About JOHN PETERSEN
This page provides the complete NPI Profile along with additional information for John Petersen, a provider established in Du Bois, Pennsylvania with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1619075686 assigned on September 2006. The practitioner's primary taxonomy code is 367500000X with license number RN185740L (PA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1619075686
- Provider Name
- JOHN C. PETERSEN CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 HOSPITAL AVE DU BOIS, PA 15801
- Location Phone
- (814) 371-2200
- Location Fax
- (814) 375-3384
- Mailing Address
- PO BOX 447 DU BOIS, PA 15801
- Mailing Phone
- (814) 371-2200
- Mailing Fax
- (814) 375-3384
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-21-2006
- Last Update Date
- 06-21-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN185740L
- License State
- PA
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 020462 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 0 | 7 | 5 | 6 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 0 | 7 | 10 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 0 + 7 + 1 + 0 + 6 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1619075686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619971108 | TRACI L TYGER PA-C Individual | Physician Assistant | 100 HOSPITAL AVE HAHNE REGIONAL CANCER CENTER/RADIATION ONCOLOGY DU BOIS, PA 15801 (814) 375-3535 |
| 1073511093 | MRS. KARYN H KING RPH Individual | Pharmacist | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 375-3791 |
| 1013991827 | RAINTREE MRI SERVICES INC Organization | Radiology (Diagnostic Radiology) | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-1784 |
| 1477538783 | DR. GHAZANFAR A SHAH MD Individual | Radiology (Diagnostic Radiology) | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-1784 |
| 1265498232 | MR. JAMES M. HOLT A.T.C., Individual | Specialist/Technologist (Athletic Trainer) | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 375-3372 |
| 1700813839 | THOMAS B GENTILCORE M.D Individual | Anesthesiology | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-2200 |
| 1558392993 | SUZANNE SEASOLTZ ACNP Individual | Nurse Practitioner (Acute Care) | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-2200 |
| 1033135082 | DR. PAUL J VALIGORSKY II M.D. Individual | Anesthesiology | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 375-3034 |
| 1336156736 | DR. JOSE M.L. COSTA M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-2200 |
| 1952318354 | DR. GEORGE J. BEAN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-2200 |
| 1669488342 | DR. WAQAR A SHAH MD Individual | Radiology (Vascular & Interventional Radiology) | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 375-3621 |
| 1114034840 | DR. ERIN A. MCKINLEY M.D. Individual | Emergency Medicine | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 375-3471 |
| 1629187844 | DR. MOHAMED IBRAHIM HASSAN MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 375-6428 |
| 1578661070 | DR. EDUARDO C. LOMIBAO M.D. Individual | Anesthesiology | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-2200 |
| 1760580260 | DR. KARL WONG M.D. Individual | Anesthesiology | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 375-3286 |
| 1952409930 | DENISE M. HENERY CRNA Individual | Nurse Anesthetist, Certified Registered | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-2200 |
| 1558469536 | NORA K. GERG CRNA Individual | Nurse Anesthetist, Certified Registered | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-2200 |
| 1306946710 | DUBOIS REGIONAL MEDICAL CENTER Organization | Dietitian, Registered | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 371-2200 |
| 1861592016 | CARMINE C MARCHIOLI MD Individual | Internal Medicine (Hematology & Oncology) | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 375-3535 |
| 1881794089 | JEAN LEVIN CRNP Individual | Nurse Practitioner | 100 HOSPITAL AVE DU BOIS, PA 15801 (814) 375-3535 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619075686, enumerated in the NPI registry as an "individual" on September 21, 2006
The provider is located at 100 Hospital Ave Du Bois, Pa 15801 and the phone number is (814) 371-2200
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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