Provider Demographics
NPI:1134130347
Name:PASKEWITZ, GEORGE IRVIN (MD)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:IRVIN
Last Name:PASKEWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 E HIGHWAY 33
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-2551
Mailing Address - Country:US
Mailing Address - Phone:402-826-5858
Mailing Address - Fax:402-826-5859
Practice Address - Street 1:995 E HIGHWAY 33
Practice Address - Street 2:SUITE 1
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2551
Practice Address - Country:US
Practice Address - Phone:402-826-5858
Practice Address - Fax:402-826-5859
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE188512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47077425426Medicaid
NE47075636926Medicaid
NE280306Medicare ID - Type UnspecifiedAFFILIATES MEDICARE
NE052701Medicare UPIN
NE47075636926Medicaid
NE34270Medicare UPIN
NE1990Medicare UPIN
NE08086Medicare UPIN