About Our Practice

Welcome and thank you for the opportunity to introduce our practice.

We are a surgical practice dedicated to providing state of the art management of breast concerns, both benign and malignant. We are committed to creating an environment that allows patients to understand their disease and make informed choices about management options. Providing this website is part of our educational mission, so please browse freely, and contact us if you have specific questions.

You may have found our practice because you have been experiencing breast symptoms such as pain or nipple discharge or you feel a lump that is concerning. Or maybe you have just been told you have an abnormal mammogram or that you or someone you love has breast cancer. Whatever the circumstances are that brought you here, we want you to know that our practice is committed to you and your life. Our promise is to do whatever it takes to make it right.

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...and we always have M&Ms!


Meet Our Staff


Janet Grange, MD • Surgeon, Breast Specialist 

Dr. Grange received her Doctor of Medicine with High Distinction from the University of Nebraska Medical Center in Omaha, Nebraska in 1993 and completed residency training in General Surgery from the same institution in 2000. She is certified by the American Board of Surgery and a Fellow of the American College of Surgeons. As a breast specialist, she is an active member of the American Society of Breast Disease as well as the American Society of Breast Surgeons.

On a local level, Dr. Grange has chaired the subcommittee addressing issues of breast health for the Every Woman Matters Program, a state and federally sponsored program aimed at ensuring that every woman has access to high quality breast healthcare. Dr. Grange has served as a committee leader for the Susan G. Komen Race for the Cure and generously supports that important organization as a “Doctor for the Cure.” She is also an active member of the Metro Omaha Medical Society through which she has been involved in advising legislative organizations regarding women’s health issues. One of her favorite professional activities is public speaking on issues related to breast health. So, if you are part of a women’s group looking for someone to speak on these issues, Dr. Grange encourages you to call her about talking to you or your organization.

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Ashley Welch  • Office Manager

Ashley graduated in 2012 with a degree in Healthcare Administration. Before working with Dr. Grange, she worked at Childrens Hospital and Medical Center. Ashley manages the day to day operations and is committed to making each patient’s experience a positive one. She schedules all patient surgeries and enjoys working with patients on a more personal level. Ashley is also available to discuss any billing concerns and set up payment plans with patients. She enjoys being part of a team that is dedicated to ensuring that each patient receives the absolute best care. In her spare time, Ashley loves playing with her baby Pomeranian and spending lots of time outdoors.


Tina Loftus  •  Medical Assistant and Receptionist

Tina has been caring for patients for nearly 8 years, working as a Certified Medical Assistant. She married her high school sweetheart 33 years ago, with her spouse serving in the United States Air Force for 30 years. They relocated from Nellis AFB, Nevada to Offutt AFB, Nebraska in 2011. They have since retired from duty and call Nebraska home. Tina finds great comfort in knowing each patient receives "Gold Standard" care and is treated like family. In her spare time, she enjoys reading, traveling, and caring for her two elderly chihuahuas.

My Story

As a surgeon specializing in the management of breast diseases, my formal training is in the comprehensive management of both benign and malignant conditions of the breast. As a woman and mother of three, my informal training has been in providing care. These two training tracks are a good combination for any physician, but my personal life has had other, more specific implications for my professional life as well...

My sister was diagnosed with breast cancer when she was 25 years old. My experience of her struggle helped shape my entire adult life and led me to my career as a breast surgeon. As I reflect on her life and death, now over twenty years later, I can see that she was the victim not only of a very complicated disease, but also of a system that, at the time, did not encourage women to be active participants in their breast health, and did not give doctors the tools to diagnose early and treat effectively.

Fortunately, we have come a long way in that regard! So now, armed with the passion of my personal experience, along with some exciting advances in the diagnosis and treatment of breast cancer, I have created a practice that is committed to answers and action, to treating patients with both compassion and expertise. After all, it’s your life, whatever it takes.



"We've created a practice that is committed to answers and action, to treating patients with both compassion and expertise."

- Janet Grange, MD

Directions to Our Office

We are located in Suite 329 of Medical Building Two, which is next to Midlands Hospital near 84th & Highway 370 in Papillion.

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