Provider Demographics
NPI:1801895826
Name:THEDINGER, BRITT ASHLEY (MD)
Entity type:Individual
Prefix:DR
First Name:BRITT
Middle Name:ASHLEY
Last Name:THEDINGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9202 WEST DODGE ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3318
Mailing Address - Country:US
Mailing Address - Phone:402-933-3277
Mailing Address - Fax:402-933-2216
Practice Address - Street 1:9202 WEST DODGE ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3318
Practice Address - Country:US
Practice Address - Phone:402-933-3277
Practice Address - Fax:402-933-2216
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2010-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE18188207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47075695900Medicaid
NE3274OtherBCBS
1000035OtherUNITED HEALTH CARE
NE260704Medicare PIN
1000035OtherUNITED HEALTH CARE