Provider Demographics
NPI:1699733410
Name:ARTHUR, JASON ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:ANDREW
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14301 FNB PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-7200
Mailing Address - Country:US
Mailing Address - Phone:402-758-5233
Mailing Address - Fax:888-972-1672
Practice Address - Street 1:14301 FNB PKWY STE 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-7200
Practice Address - Country:US
Practice Address - Phone:402-758-5233
Practice Address - Fax:888-972-1672
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE215222085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025186700Medicaid
NE04192OtherBC/BS OF NEBRASKA
NE1602925OtherSHARE ADVANTAGE
IA0585794Medicaid
NE236692OtherMIDLANDS CHOICE
NE605082700OtherUS DEPARTMENT OF LABOR
IA0585794Medicaid
NE1602925OtherSHARE ADVANTAGE
NE236692OtherMIDLANDS CHOICE
NE605082700OtherUS DEPARTMENT OF LABOR
IAP00235922Medicare PIN