Individual provider Active NPI

Griffin Holauchock, DSC. PA-C

  • Physician Assistant
  • Wright Patterson AFB, OH
National Provider Identifier
1083030704
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone
(937) 257-9416
NPI assigned
Mar 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529

Mailing address

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529

Other practice location 1

1050 W Perimeter Rd
Andrews AFB, MD 20762-6601
Phone (240) 612-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220606002176 PA Practitioner - Physician Assistant 3971841719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Rehabclinics SPT IncGroup PAC ID 7113834102, shared by 20 NPIs, 101 clinicians

Practice addresses (Care Compare)

1205 Langhrn Nwtwn Rd
Suite 202
Langhorne, PA 19047-1221
Phone (215) 348-7000

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2800 Kelly Rd
Suite 300
Warrington, PA 18976-3626

2800 Kelly Rd
Suite 300
Warrington, PA 18976-3630
Phone (215) 348-7000

4275 County Line Rd
Suite 26
Chalfont, PA 18914-2212
Phone (267) 952-8120

593 W State St
Suite 201
Doylestown, PA 18901-2542
Phone (215) 348-7000

800 W State St
Suite 204
Doylestown, PA 18901-5842
Phone (215) 348-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks County Orthopedic Specialists, PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

593 W State St
Ste 201
Doylestown, PA 18901
Phone (215) 348-7000

800 W State St
Ste 204
Doylestown, PA 18901
Phone (215) 348-1310

2800 Kelly Rd
Ste 300
Warrington, PA 18976
Phone (215) 348-3068

Interoperability endpoints

  • Direct secure messaging: griffin.holauchock@dhcp.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1083030704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-9416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 W Perimeter Rd",
            "address_purpose": "LOCATION",
            "city": "Andrews AFB",
            "state": "MD",
            "postal_code": "207626601",
            "country_code": "US",
            "telephone_number": "240-612-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLAUCHOCK",
        "first_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "DSC. PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright Patterson AFB, OH

Sources for this page

Verify at the official NPI Registry.