Provider Demographics
NPI:1578507968
Name:ZANONE, DANA BECKER (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:BECKER
Last Name:ZANONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7261 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2311
Mailing Address - Country:US
Mailing Address - Phone:402-398-6255
Mailing Address - Fax:402-553-5092
Practice Address - Street 1:2734 N 61ST ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-4020
Practice Address - Country:US
Practice Address - Phone:402-553-0222
Practice Address - Fax:402-553-5092
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9901364207Q00000X
NE27043207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00171810OtherMEDICARE RAILROAD
NE098684419Medicare PIN
P00171810OtherMEDICARE RAILROAD
NC2294106BMedicare ID - Type Unspecified