Provider Demographics
NPI:1255561288
Name:PASTERNAK, JEANA SUE (MD)
Entity type:Individual
Prefix:
First Name:JEANA
Middle Name:SUE
Last Name:PASTERNAK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7710 MERCY RD STE 424
Mailing Address - Street 2:DEPT OF ANESTHESIOLOGY
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2346
Mailing Address - Country:US
Mailing Address - Phone:402-398-6176
Mailing Address - Fax:402-343-8765
Practice Address - Street 1:7500 MERCY RD
Practice Address - Street 2:DEPT OF ANESTHESIOLOGY
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2319
Practice Address - Country:US
Practice Address - Phone:402-339-8617
Practice Address - Fax:402-343-8765
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2014-07-25
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Provider Licenses
StateLicense IDTaxonomies
NE27280207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology