| Doctor Name: | JASON C. PETERSON |
| NPI Number: | 1508034398 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CST-CSFA |
| License Number: | |
| Business Practice Address: | 925 Chicory Ln Hickman, NE - 683729512 |
| Business Phone Number: | 4024167110 |
| Business Fax Number: | 4024167110 |
| Mailing Address: | 925 Chicory Ln, HICKMAN |
| State: | NE |
| Postal Code: | 683729512 |
| Phone Number: | 4024167110 |
| Fax Number: | 4024167110 |
| NPI Enumeration Date: | 02/14/2008 |
| NPI Last Update Date: | 12/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZC0007X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Certified First Assistant |
| Taxonomy Definition: | As defined by the American College of Surgeons (ACS), the surgical first assistant provides aid in exposure, hemostasis, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. These functions include, but are not limited to, positioning of the patient, suturing, and closure of body planes and skin, and the application of wound dressings. |