Healthcare Provider Details

I. General information

NPI: 1780727073
Provider Name (Legal Business Name): GEORGE A ZIEG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16945 FRANCES ST
OMAHA NE
68130-2312
US

IV. Provider business mailing address

16945 FRANCES ST
OMAHA NE
68130-2312
US

V. Phone/Fax

Practice location:
  • Phone: 402-397-7400
  • Fax: 402-397-0115
Mailing address:
  • Phone: 402-397-7400
  • Fax: 402-397-0115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number19140
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number31486
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number27933
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number19140
License Number StateNE
# 5
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number19140
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: