DEAN L ANTONSON


Address: 4242 Farnam St Ste 490, Omaha, NE 68131-2850
Phone: 4025522100

DEAN L ANTONSON (NPI# 1467419143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467419143
Entity Type Individual
Full Name DEAN L ANTONSON
Credential MD
Practice Address 4242 Farnam St Ste 490
Omaha
NE 68131-2850
Mailing Address Po Box 540221
Omaha
NE 68154-0221
Practice Telephone 4025522100
Practice Fax Number 4025522160
Mailing Telephone 4025522100
Mailing Fax Number 4025522160
Enumeration Date 2006-04-27
Last Update Date 2014-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
12830 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE MEDICAID 10026383700 01

Office Location

Street Address 4242 FARNAM ST STE 490
City OMAHA
State NE
Zip Code 68131-2850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699200972 John W Elsaesser Nurse Practitioner 4242 Farnam St Ste 490, Omaha, NE 68131-2850 2017-04-25
1740601038 Dean Antonson Md PC Pediatrics 4242 Farnam St Ste 490, Omaha, NE 68131-2850 2014-01-03
1821251083 Aaron R Braun Radiology 4242 Farnam St Ste 490, Omaha, NE 68131-2850 2008-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821626086 Spring Forward Ot, LLC Occupational Therapist 429 N. 38th Ave, Omaha, NE 68131 2020-03-31
1568944528 Amy Vodicka Case Manager/Care Coordinator 3612 Cuming St., Omaha, NE 68131 2018-09-05
1982121919 Lakeisha Marie Phelps Peer Specialist 3568 Dodge St, Omaha, NE 68131 2017-08-30
1063939098 William L. Rolfe Community Health Worker 3568 Dodge Street, Suite 2, Omaha, NE 68131 2017-08-30
1578086294 Nebraska Family Support Network Community/Behavioral Health 3568 Dodge St Ste 2, Omaha, NE 68131 2017-07-25
1124558937 Beverly Hamilton Case Manager/Care Coordinator 3612 Cuming, Omaha, NE 68131 2017-06-14
1396291068 Elizabeth George Internal Medicine 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 2016-08-31
1639625999 Samuel Ramon Brown Surgery 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 2016-08-28
1205289238 Srilakshmi Reddy Surgery 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 2016-07-14
1881069409 Jordan Sieh Behavioral Analyst 444 S. 44th St, Omaha, NE 68131 2015-12-08
Find all providers in zip 68131

Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477032647 Ahmad Rajih Miri Pediatrics 982161 Nebraska Medical Center Pediatrics Department, Omaha, NE 68198-2161 2018-08-09
1982988432 Andrew Steve Huang-pacheco Pediatrics 3306 N 164th St, Omaha, NE 68116 2011-10-03
1942465067 Hanh Thi Diem Vo Pediatrics 982161 Nebraska Medical Ctr, Pediatric Gastroenterology, Omaha, NE 68198-2161 2008-07-29
1740601038 Dean Antonson Md PC Pediatrics 4242 Farnam St Ste 490, Omaha, NE 68131-2850 2014-01-03
1487916995 David J Freestone Pediatrics 8200 Dodge St, Omaha, NE 68114-4113 2012-06-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396797635 Jon A Vanderhoof Pediatrics 14080 Boystown Hospital Rd, Boys Town, NE 68010-7513 2006-05-16
1598984593 Sharad D Kunnath Pediatrics 14080 Hospital Rd, Boys Town, NE 68010-7513 2007-04-25
1144310277 Amy Kathryn Anderson Pediatrics 835 S Burlington Ave, Suite 108, Hastings, NE 68901-6928 2006-10-12

Competitor

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City OMAHA
Zip Code 68131

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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