PETER W WOLFERSEDER CRNA NPI 1003874058

Nurse Anesthetist, Certified Registered in Providence, RI

About PETER WOLFERSEDER

Peter Wolferseder is a provider in Providence, RI with more than 16 years of experience. The NPI number assigned to this provider is 1003874058. The practitioner's primary taxonomy code is Nurse Anesthetist, Certified Registered (367500000X). The provider is registered as an individual and their NPI record was last updated 4 years ago. Peter Wolferseder is registered with Medicare and accepts claims assignment.

NPI1003874058 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name PETER W WOLFERSEDER CRNA
Provider Location Address593 EDDY STREET DAVOL 129 PROVIDENCE, RI 02903 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressONE VIRGINIA AVENUE SUITE 201 PROVIDENCE, RI 02905 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date05-01-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-02-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PETER W WOLFERSEDER CRNA
593 EDDY STREET
DAVOL 129
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-4933
Fax: (401) 444-5090
Get Directions

Mailing Address

PETER W WOLFERSEDER CRNA
ONE VIRGINIA AVENUE
SUITE 201
PROVIDENCE, RI
ZIP 02905
Phone: (401) 490-0916
Fax: (401) 490-0979

Primary Taxonomy

Taxonomy Code367500000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.RNA36585
License StateRI
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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
007010397MEDICARE ID-TYPE UNSPECIFIED (04)RI

Map Location


PETER W WOLFERSEDER CRNA address is 593 EDDY STREET DAVOL 129 PROVIDENCE, RI 02903

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023160116 CHRISTINE MARIE RAMALHO DMD
Individual
Dentist (General Practice)593 EDDY STREET JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903
(401) 444-7195
1104950542 YASER ABU EL-SAMEED M.D.
Individual
Internal Medicine (Pulmonary Disease)593 EDDY STREET APC 7
PROVIDENCE, RI 02903
(401) 444-3565
1164489647 MERVYN WOOLF MD
Individual
Anesthesiology593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903
(401) 444-4933
1194884734 CHERYL L NIMMO CRNA
Individual
Nurse Anesthetist, Certified Registered593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903
(401) 444-4933
1346224953DR. GABOR ISTVAN KEITNER MD
Individual
Psychiatry & Neurology (Psychiatry)593 EDDY STREET POTTER 3
PROVIDENCE, RI 02903
(401) 444-3534
1396783692 NISHA GUPTA TRIVEDI MD
Individual
Anesthesiology593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903
(401) 444-5142
1427156801 E MAJEMA MASSENBURG-CORRY NP
Individual
Nurse Practitioner593 EDDY STREET
PROVIDENCE, RI 02903
(401) 519-1604
1487758587MRS. CAROL ANN LARKIN ANP
Individual
Nurse Practitioner (Adult Health)593 EDDY STREET 5TH FLOOR
PROVIDENCE, RI 02903
(401) 444-4741
1558314757 JASON M ALIOTTA MD
Individual
Internal Medicine (Pulmonary Disease)593 EDDY STREET APC 7
PROVIDENCE, RI 02903
(401) 444-3565
1558319624 CHRISTOPHER A COPPOLA CRNA
Individual
Nurse Anesthetist, Certified Registered593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903
(401) 444-4933
1568522548MS. SANDRA REBELO AGUIAR M.S., CCC-SLP
Individual
Speech-Language Pathologist593 EDDY STREET
PROVIDENCE, RI 02903
(401) 444-5485
1649322736DR. SHIRLEY ANN SPATER FREEDMAN DMD MPH
Individual
Dentist (General Practice)593 EDDY STREET SAMUELS SINCLAIR DENTAL CENTER AT RIH
PROVIDENCE, RI 02903
(401) 444-5995
1669619326DR. ALLYSIA MARIE GUY MD
Individual
Emergency Medicine593 EDDY STREET
PROVIDENCE, RI 02903
(401) 854-2504
1689726762 GEORGE JOSEPH DUPONT III DDS
Individual
Dentist (Pediatric Dentistry)593 EDDY STREET JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903
(401) 444-8302
1700088051 MATTHEW STEPHEN SIKET M.D.
Individual
Emergency Medicine593 EDDY STREET
PROVIDENCE, RI 02903
(401) 854-2504
1750565990MS. GINA ELIZABETH CALISE M.S., CCC-SLP
Individual
Speech-Language Pathologist593 EDDY STREET
PROVIDENCE, RI 02903
(401) 793-8644
1841247855 LEE PEARSON CRNA
Individual
Nurse Anesthetist, Certified Registered593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903
(401) 444-4933
1851355606 SANDRA G DAVIS CRNA
Individual
Nurse Anesthetist, Certified Registered593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903
(401) 444-4933
1851601611 KERRI RENE AMARAL N.P.
Individual
Nurse Practitioner (Acute Care)593 EDDY STREET
PROVIDENCE, RI 02903
(401) 444-4000
1952366577MR. KYLE M ST. JEAN CRNA
Individual
Anesthesiology593 EDDY STREET DAVOL 129
PROVIDENCE, RI 02903
(401) 444-4933