Individual provider Active NPI

James S Griffith, MD

  • Neurology Physician
  • Tacoma, WA
National Provider Identifier
1073518239
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD00017133 Issued in WA
Practice address
2201 S 19TH St
Ste 205
Tacoma, WA 98405-2961
Phone
(253) 383-1066
Fax
(253) 383-1068
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD00017133 WA Primary

Addresses

Primary practice location

2201 S 19TH St
Ste 205
Tacoma, WA 98405-2961

Mailing address

2201 S 19TH St
Ste 205
Tacoma, WA 98405-2961
Phone (253) 383-1066

Other identifiers 4

IdentifierTypeStateIssuer
0017272MedicaidWA
17272OtherSTATE L & I
GH026056001OtherGROUP HEALTH
GR5670OtherREGENCE BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsg9818@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203001129 WA Practitioner - Neurology 4385824648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1073518239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S 19TH ST",
            "address_2": "STE 205",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052961",
            "telephone_number": "253-383-1066",
            "fax_number": "253-383-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S 19TH ST",
            "address_2": "STE 205",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052961",
            "telephone_number": "253-383-1066",
            "fax_number": "253-383-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00017133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017272",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L & I",
            "identifier": "17272",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "GH026056001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "GR5670",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsg9818@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical",
            "address_1": "2201 S 19th St",
            "address_2": "Ste 205",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984052961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.