National Provider Identifier Database

NICHOLAS PETERSON, CAA – NPI #1386297869
Anesthesiologist Assistant

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.


Contact Information

NICHOLAS PETERSON, CAA
36000 EUCLID AVE
WILLOUGHBY, OH44094-4625
Phone: 440-953-9600
Fax:
Website:
Specialty Taxonomy Code
* Anesthesiologist Assistant 367H00000X

* Indicates primary specialty

NPI Profile & details for NICHOLAS PETERSON

NPI Number 1386297869
Credentials CAA
Entity Individual
Enumeration date 07/23/2019
Last updated 05/06/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 67.000388
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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