Joel A Greisen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20450 Issued in NE

Practice address

4501 S 70TH St
Suite 110
Lincoln, NE 68516-4282

Phone

(402) 489-3834

Fax

(402) 489-5049

NPI assigned

Jun 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lincoln Pediatric Group LLC

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1083640130
  NPD (past)
• Lincoln Pediatric Group LLC

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1508389610
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1457387946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 S 70TH ST",
            "address_2": "SUITE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164282",
            "telephone_number": "402-489-3834",
            "fax_number": "402-489-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S 70TH ST",
            "address_2": "SUITE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164282",
            "telephone_number": "402-489-3834",
            "fax_number": "402-489-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREISEN",
        "first_name": "JOEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "20450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "12 00332",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "7426",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47049487112",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5955",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Gregory
• Victoria Gregory
• Wade A Gregson
• Karen Diane Greiner
• Mark Andrew Greiner
• Sara Jean Greisen, PA-C
• Diane Grell-Kamler
• Jacob Grell
• Melody Grenelle, DPT
• Darrielle Gresham

• Pediatrics Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Pediatrics Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.