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NPI Code Detail

MEDICARE: MARK ALAN CHENEY M.D.

MEDICARE: MARK ALAN CHENEY M.D.
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
1207L00000XAnesthesiology Physician35.133859OH
2207L00000XAnesthesiology Physician27478NE
3207LC0200XCritical Care Medicine (Anesthesiology) Physician2748NE

General Provider Information

NPI Number : 1346514122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ALAN CHENEY M.D.
Provider Business Mailing Address
First Line : 985524 NEBRASKA MEDICAL CENTER - GME
Second Line :
City : OMAHA
State : NE
Zip : 68198-5524
Country : US
Telephone Number : 25-594-3444
Fax Number :
Provider Business Practice Location Address
First Line : 4350 DEWEY AVE
Second Line :
City : OMAHA
State : NE
Zip : 68105-1017
Country : US
Telephone Number : 402-559-7370
Fax Number : 402-559-7372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2012
Last Update Date : 07/31/2024

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