Active NPI
Jason P Griffin, DO
- Hospitalist Physician
- Kissimmee, FL
National Provider Identifier
1093758971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 34-008385
- Practice address
- 2951 Swoop Cir
Kissimmee, FL 34741-7838 - Phone
- (614) 529-8439
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34008385 | OH | |
| Hospitalist Physician | 208M00000X | 34-008385 | OH | Primary |
Addresses
Primary practice location
2951 Swoop Cir
Kissimmee, FL 34741-7838
Mailing address
2951 Swoop Cir
Kissimmee, FL 34741-7838
Phone (614) 529-8439
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00170872 | Other | OH | RAILROAD MEDICARE PIN |
| 2526387 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008385 | OH | MD | Internal Medicine Physician |
| 34-008385 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Health | Past | Accepting new patients | |
| Floridian Emergency Specialists, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Crestview, FL
- NPI 1992150007
-
- Family Medicine Physician
- Westerville, OH
- NPI 1184646705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1093758971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 SWOOP CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417838",
"telephone_number": "614-529-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 SWOOP CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417838",
"telephone_number": "614-529-8439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "JASON",
"middle_name": "P",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34008385",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "34-008385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00170872",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2526387",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.