Ann Marie Bausch, M.D.

Individual provider Active NPI Pediatrics Physician · Omaha, NE

NPI 1164536975 · NPPES record last updated Jun 21, 2016

Key facts

NPI
1164536975
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
21689 (NE)
Practice address
9815 Ascot Dr
Omaha, NE 68114-3847
Phone
(402) 354-4700
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21689 NE Yes

Addresses

Primary practice location

9815 Ascot Dr
Omaha, NE 68114-3847

Mailing address

9815 Ascot Dr
Omaha, NE 68114-3847

Other providers in Omaha, NE

All providers in Omaha, NE · Pediatrics Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.