Dr. Jason Edward Grennan

Diagnostic Radiology Mercy Health-St Rita's Medical Center NPI1457313314

Summary

About

Dr. Jason Edward Grennan specialises in Diagnostic Radiology. He currently works at Mercy Health-St Rita's Medical Center in Nebraska and has affiliate with 4 other institutions.

Provider Details

NPI Number 1457313314
Provider Name Jason Edward Grennan
Credential MD
Specialization Diagnostic Radiology
Medical School Name University Of Nebraska College Of Medicine
Graduation Year 1999
Gender M
Entity Type Individual
PAC ID by PECOS 9830179092
Professional Enrollment ID I20140529001077
Enumeration Date 04/05/2006
Last Update Date 10/18/2022

Contact Details

Business Practice address 17310 WRIGHT ST STE 103, Omaha,
68130-2405 Nebraska View on Google Map
Business Practice phone 833-228-6889
Business Practice fax 877-853-0376
Mailing address 11995 SINGLETREE LN, Eden Prairie,
55344-5347 Minnesota View on Google Map
Other phone 952-595-1301
Other fax 612-294-4903
Email Address shannonfig@domain.com Reval Email Address
Incorrect information? Update the NPI Details for Jason Edward Grennan MD Update NPI

Hospital Affilitation

Mercy Health-St Rita's Medical Center in Omaha

Omaha, Nebraska

Hutchinson Regional Medical Center Inc

Clark Regional Medical Center

Bayhealth Hospital, Kent Campus

Norman Regional

Education & Training

University Of Nebraska College Of Medicine

Diagnostic Radiology, 1999

Group Affiliation

Organization Name PECOS PAC ID Members
Memphis Physicians Radiological Group Pc 9830123736 31
Radiology Professionals Of Hutchinson, Llc 5193760999 16
Lima Radiological Associates 9931003977 36
Radiology Consultants Pc 8325947799 54
Physicians Of Cape Cod Hospital 9638326671 254
Florida Keys Radiology Associates Llp 6002846771 21
Trinity Health 7911816020 297
Baptist Physician Network 0547333890 62
Mcfarland Clinic Pc 1254244239 328
The Duluth Clinic Ltd 2567374283 886
Grand Island Radiology Associates Pc 7719978261 39
Plains Radiology Services Pc 1850453432 36
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center 8426957523 205
Diagnostic Radiology Pc 2264491570 29
Leconte Radiology Pc 1850373705 35
Radiology Associates Of Tallahassee Pa 6709895675 45
Central Kentucky Radiology Pllc 8921906983 49
Associated Radiologists, Ltd 8123009941 31
Kent Diagnostic Radiology Associate Pa 3971591371 48
Prairie Du Chien Memorial Hospital Association, Inc. 4981698537 33
Reliant Medical Group Inc 5597755322 531
Urology Cancer Center Pc 3072702612 8
Nrhs Radiology Associates 2668555731 40
Memorial Hospital Of Sheridan County 2163405440 40
Newsletter for Healthcare Professionals

Provider Taxonomy Details

Provider Taxonomy 1
Taxonomy
License No.
M9390 (Idaho)
Provider Taxonomy 2
Taxonomy
License No.
15088 (North Dakota)
Provider Taxonomy 3
Taxonomy
License No.
9563A (Wyoming)
Primary Taxonomy
Taxonomy
License No.
22159 (Nebraska)

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1457313314
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor N
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Grennan
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name Jason
The first name of the provider, if the provider is an individual.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address 11995 SINGLETREE LN
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name Eden Prairie
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name Minnesota
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 55344-5347
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 952-595-1301
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider Business Mailing Address Fax Number 612-294-4903
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider First Line Business Practice Location Address 17310 WRIGHT ST STE 103
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name Omaha
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name Nebraska
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 68130-2405
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 833-228-6889
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 877-853-0376
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 04/05/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 10/18/2022
The date that a record was last updated or changed.
Provider Gender Code M
The code designating the provider's gender if the provider is a person.
Provider Gender Male
The provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code #1 2085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Healthcare Provider Taxonomy #1
Provider License Number 1 M9390
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1 ID
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code #2 2085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 2 A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Healthcare Provider Taxonomy #2
Provider License Number 2 15088
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2 ND
Provider License Number State Code #2
Healthcare Provider Primary Taxonomy Switch 2 N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code #3 2085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 3 A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Healthcare Provider Taxonomy #3
Provider License Number 3 9563A
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 3 WY
Provider License Number State Code #3
Healthcare Provider Primary Taxonomy Switch 3 N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code #4 2085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 4 A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Healthcare Provider Taxonomy #4
Provider License Number 4 22159
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 4 NE
Provider License Number State Code #4
Healthcare Provider Primary Taxonomy Switch 4 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.