Provider Demographics
NPI:1588787543
Name:BRIAN F. GRIFFIN MD, INC
Entity type:Organization
Organization Name:BRIAN F. GRIFFIN MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-921-9300
Mailing Address - Street 1:4694 CEMETERY RD
Mailing Address - Street 2:PMB 314
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1124
Mailing Address - Country:US
Mailing Address - Phone:614-921-9300
Mailing Address - Fax:614-921-9312
Practice Address - Street 1:3655 RIDGE MILL DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7752
Practice Address - Country:US
Practice Address - Phone:614-921-9300
Practice Address - Fax:614-921-9312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9339972Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER