Physician Compare National (NPI:1780710558)

HEALTHCARE PROVIDER: JANET JOAN GRANGE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1780710558
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022147578
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100521000703
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRANGE
	Individual professional last name
Provider First Name	JANET
	Individual professional first name
Provider Middle Name	JOAN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	401 E GOLD COAST RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 329
	Group Practice or individual's line 2 address
City	PAPILLION
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	680464194
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	280130
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI HEALTH LAKESIDE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	280105
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI HEALTH MIDLANDS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	280060
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHI HEALTH BERGAN MERCY
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	280040
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	THE NEBRASKA METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	280013
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	THE NEBRASKA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1780710558)

HEALTHCARE PROVIDER: JANET JOAN GRANGE M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information