ANDREA M PREVAN (NPI# 1891753299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891753299 |
| Entity Type | Individual |
| Full Name | ANDREA M PREVAN |
| Credential | DO |
| Practice Address |
4242 Farnam St Suite 145 Omaha NE 68131-2806 |
| Practice Telephone | 4025522100 |
| Practice Fax Number | 4025522104 |
| Mailing Telephone | 4025522100 |
| Mailing Fax Number | 4025522104 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
3311 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
129 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 528174 | 05 | |
| SD | 7709822 | 05 | |
| NE | 47081309213 | 05 | |
| NE | BCBS NE | 00319 | 01 |
| Street Address |
4242 FARNAM ST SUITE 145 |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434443 | Scott H Goodman | Psychiatry & Neurology | 4242 Farnam St, Suite 500, Omaha, NE 68131-2806 | 2005-06-01 |
| 1215599311 | Sarah Julia Maria Doss | Psychiatry & Neurology | 4242 Farnam St, Omaha, NE 68131-2806 | 2019-06-28 |
| 1962921551 | Kathryn Len Higgins Sibson | Clinical Neuropsychologist | 4242 Farnam St, Ste 247, Omaha, NE 68131-0003 | 2017-09-14 |
| 1962949917 | Sarah Greteman | Physician Assistant | 4242 Farnam St, Suite 500, Omaha, NE 68131-2806 | 2017-01-30 |
| 1316494164 | Autumn R Nye | Nurse Practitioner | 4242 Farnam St, Ste 650, Omaha, NE 68131-2813 | 2016-09-08 |
| 1154772044 | Adam Grooms | Neurological Surgery | 4242 Farnam St, Omaha, NE 68131-2806 | 2016-06-22 |
| 1346561925 | Melissa Sue Donnelly | Physician Assistant | 4242 Farnam St, #650, Omaha, NE 68131-2806 | 2010-06-17 |
| 1558686378 | Melissa Diamantis Darling | Dermatology | 4242 Farnam St, Suite 360, Omaha, NE 68131-2850 | 2010-04-05 |
| 1942531033 | Heart Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4242 Farnam St, #355, Omaha, NE 68131-2806 | 2010-01-29 |
| 1427222959 | Chad Allen Whyte | Psychiatry & Neurology | 4242 Farnam St, Suite 500, Omaha, NE 68131-2806 | 2008-04-16 |
| Find all providers in the same location | ||||
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912910423 | Nada Abdellatif Fadul | Internal Medicine | 804 S 52nd St, Omaha, NE 68106-1802 | 2006-08-14 |
| 1184165318 | Ahad Azeem | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2017-03-20 |
| 1154736668 | Richard Jordan Hankins | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-0001 | 2014-06-23 |
| 1245676626 | Nicolas W Cortes-penfield | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-0001 | 2013-05-13 |
| 1366736803 | Erica Stohs | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-0001 | 2011-06-01 |
| 1407146632 | Neil Mendoza | Internal Medicine | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2011-04-08 |
| 1306166244 | John Michael Horne | Internal Medicine | 601 N 30th St Ste 5800, Omaha, NE 68131-2137 | 2010-06-02 |
| 1831324813 | Omaha Travel Clinic, P.C. | Internal Medicine | 8111 Dodge St, Suite 363, Omaha, NE 68114-4129 | 2009-05-20 |
| 1104060904 | Uriel Sebastian Sandkovsky | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2009-04-23 |
| 1619116183 | Infectious Disease & Epidemiology Associates PC | Internal Medicine | 17030 Lakeside Hills Plz, Suite 202, Omaha, NE 68130-2396 | 2009-02-06 |
| Find all providers in OMAHA | ||||
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| 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.