ANTHONY J GRIESS (NPI# 1598713935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598713935 |
Entity Type | Individual |
Full Name | ANTHONY J GRIESS |
Credential | MD |
Practice Address |
909 N 96th St Suite 201 Omaha NE 68114-2497 |
Practice Telephone | 4023304555 |
Practice Fax Number | 4023304626 |
Mailing Telephone | 4023304555 |
Mailing Fax Number | 4023304626 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2011-07-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 20304 | NE | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
20304 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025555000 | 05 |
Street Address |
909 N 96TH ST SUITE 201 |
City | OMAHA |
State | NE |
Zip Code | 68114-2497 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073517405 | Marc R Hapke | Pathology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2005-06-13 |
1134431133 | Sara Elizabeth West | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2010-07-07 |
1225290596 | Judy Carmen Wolpert | Dermatology | 909 N 96th St, Omaha, NE 68114-2497 | 2008-06-27 |
1700090024 | Ashley Laurel Drake | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2007-05-09 |
1518078260 | Kimberley A Deats | Physician Assistant | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-08-31 |
1164531158 | Jill S Nelson | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-08-30 |
1134177488 | David J Watts | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-05 |
1114975489 | Julie Ann Roubal | Physician Assistant | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-05 |
1871541078 | Dermatology Surgery Center PC | Dermatology | 909 N 96th St, Suite 201, Omaha, NE 68114-2497 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
Find all providers in zip 68114 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316182785 | Gateway Dermatology PC | Dermatology | 600 N Cotner Blvd, Suite 311, Lincoln, NE 68505-2343 | 2008-12-12 |
1538348610 | Geoffrey C. Basler, M.d. P.C. | Dermatology | 2455 Pine Lake Road Suite 110, Lincoln, NE 68512-3612 | 2007-10-25 |
1912005109 | Basler Skin LLC | Dermatology | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2006-09-20 |
1598873762 | David A Bigler, M.d. | Dermatology | 600 N Cotner Blvd, Suite 311, Lincoln, NE 68505-2343 | 2006-08-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.