Provider Demographics
NPI:1497006787
Name:JEFFREY A PASSER MD PC
Entity Type:Organization
Organization Name:JEFFREY A PASSER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-552-2900
Mailing Address - Street 1:4239 FARNAM ST STE 800
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2800
Mailing Address - Country:US
Mailing Address - Phone:402-552-2900
Mailing Address - Fax:402-552-2901
Practice Address - Street 1:4239 FARNAM ST STE 800
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2800
Practice Address - Country:US
Practice Address - Phone:402-552-2900
Practice Address - Fax:402-552-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty