Individual provider · Type 1 NPI

Jason Edward Grennan, MD

Diagnostic Radiology Physician · Omaha, NE

NPI number 1457313314 Active

Practice location

17310 Wright St Ste 103
Omaha, NE 68130-2405

Fax (877) 853-0376

Mailing address

11995 Singletree Ln, Suite 500
Eden Prairie, MN 55344-5347

Other practice locations

  • 2305 37th Ave SW, Minot, ND 58701-7669 · (701) 857-5000
  • 6000 Hospital Dr, Hannibal, MO 63401-6887 · (573) 482-5301
  • 1 Burdick Expy W, Minot, ND 58701-4406 · (701) 857-5000

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X9563A (WY)
Diagnostic Radiology Physician 2085R0202XM9390 (ID)
Diagnostic Radiology Physician 2085R0202X2005019089 (MO)
Diagnostic Radiology Physician Primary 2085R0202X22159 (NE)
Diagnostic Radiology Physician 2085R0202X15088 (ND)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1457313314

Jason Edward Grennan, MD's National Provider Identifier is 1457313314, issued on Apr 5, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Omaha, NE. The record was last updated on Sep 23, 2025.