DEAN ANTONSON MD PC (NPI# 1740601038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740601038 |
| Entity Type | Organization |
| Organization Name | DEAN ANTONSON MD PC |
| 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 | 2014-01-03 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | DEAN L ANTONSON (PRESIDENT) |
| Authorized Official Telephone | 4025522100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
4242 FARNAM ST STE 490 |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467419143 | Dean L Antonson | Pediatrics | 4242 Farnam St Ste 490, Omaha, NE 68131-2850 | 2006-04-27 |
| 1699200972 | John W Elsaesser | Nurse Practitioner | 4242 Farnam St Ste 490, Omaha, NE 68131-2850 | 2017-04-25 |
| 1821251083 | Aaron R Braun | Radiology | 4242 Farnam St Ste 490, Omaha, NE 68131-2850 | 2008-07-08 |
| 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 Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| 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. |
| 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 |
| 1467419143 | Dean L Antonson | Pediatrics | 4242 Farnam St Ste 490, Omaha, NE 68131-2850 | 2006-04-27 |
| 1487916995 | David J Freestone | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2012-06-11 |
| 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 |
Please comment or provide details below to improve the information on DEAN ANTONSON MD PC.
| 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.