Organization Active NPI

Janet Grange, MD, PC

  • Surgery Physician
  • Papillion, NE
National Provider Identifier
1538345533
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19630 Issued in NE
Legal business name
JANET GRANGE, MD, PC
Practice address
401 E Gold Coast Rd
Suite 329
Papillion, NE 68046-4194
Phone
(402) 934-9323
Fax
(402) 934-9471
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Janet J Grange, MD
Title
President
Phone
(402) 934-9323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 19630 NE Primary

Addresses

Primary practice location

401 E Gold Coast Rd
Suite 329
Papillion, NE 68046-4194

Mailing address

401 E Gold Coast Rd
Suite 329
Papillion, NE 68046-4194
Phone (402) 934-9323

Other identifiers 3

IdentifierTypeStateIssuer
34173OtherNEBCBS OF NEBRASKA #
17-81009OtherNEUNITED HEALTH CARE #
2224212MedicaidIA

National Provider Directory

National Provider Directory

Locations

988134 Nebraska Medical Ctr
Omaha, NE 68198

401 E Gold Coast Rd
Ste 32
Papillion, NE 68046
Phone (402) 934-9323

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1538345533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E GOLD COAST RD",
            "address_2": "SUITE 329",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464194",
            "telephone_number": "402-934-9323",
            "fax_number": "402-934-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E GOLD COAST RD",
            "address_2": "SUITE 329",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464194",
            "telephone_number": "402-934-9323",
            "fax_number": "402-934-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET GRANGE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GRANGE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-934-9323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NE",
            "license": "19630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA #",
            "identifier": "34173",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE #",
            "identifier": "17-81009",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2224212",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.