DR. EDWARD ELLIS PEASE MD NPI 1073024378

NPI Information

NPI: 1073024378
Provider Name: DR. EDWARD ELLIS PEASE, MD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
5608 FARNAM ST
OMAHA, NE
ZIP 68132
Phone: (402) 558-6817
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DR. Edward Ellis Pease, MD is an addiction medicine psychiatry neurology in Omaha, NE. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Edward Ellis Pease, MD NPI is 1073024378. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5608 FARNAM ST
OMAHA, NE
ZIP 68132-426
Phone: (402) 558-6817

The enumeration date for this NPI number is 10/13/2017 and was last updated on 10/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	14096	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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