MEDICARE: INFECTIOUS DISEASES ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	07614	OTHER	NE	BCBS

General Provider Information

NPI Number	:	1164448510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFECTIOUS DISEASES ASSOCIATES PC

Provider Business Mailing Address
First Line	:	9202 W DODGE RD STE 203
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-3318
Country	:	US
Telephone Number	:	402-934-6504
Fax Number	:	402-934-6518

Provider Business Practice Location Address
First Line	:	9202 W DODGE RD STE 203
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-3318
Country	:	US
Telephone Number	:	402-934-6504
Fax Number	:	402-934-6518

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KAREN L PFEIFFER
Credential	:
Telephone Number	:	402-354-8155

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	06/26/2024

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1801895826 — DR. BRITT ASHLEY THEDINGER M.D.
Practice Location Address:

9202 WEST DODGE ROAD , SUITE 200
OMAHA, NE
68114-3318

Practice Phone: 402-933-3277
Practice Fax: 402-933-2216

1134216682 — DR. JENNIFER ANNE GREDER D.D.S.
Practice Location Address:

9202 W DODGE RD STE 201
OMAHA, NE
68114-3318

Practice Phone: 402-558-6220
Practice Fax: 402-933-9065

1134317845 — DR. TOBIN NORMAN DRAKE D.D.S
Practice Location Address:

9202 W DODGE RD STE 301
OMAHA, NE
68114-3318

Practice Phone: 402-397-3636
Practice Fax: 402-397-1055

1861640799 — MRS. ASHLEY RAE STEVENS AU.D
Practice Location Address:

9202 WEST DODGE ROAD , SUITE 200
OMAHA, NE
68114-3318

Practice Phone: 402-933-3277
Practice Fax: 402-933-2216

1104078542 — BRITT A. THEDINGER, MD, PC
Practice Location Address:

9202 W DODGE ROAD , SUITE 200
OMAHA, NE
68114-3318

Practice Phone: 402-933-3277
Practice Fax: 402-933-2216

Directions to “INFECTIOUS DISEASES ASSOCIATES PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.