Individual provider Active NPI

Shane Griffith, D.O.

  • Otolaryngology Physician
  • Brunswick, ME
National Provider Identifier
1114346251
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DO2892 Issued in ME
Practice address
81 Medical Center Dr Ste 1150
Brunswick, ME 04011-2765
Phone
(207) 721-0911
Fax
(207) 721-9729
NPI assigned
Apr 15, 2014
Last updated
May 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X OT015658 PA
Otolaryngology Physician 207Y00000X DO2892 ME Primary

Addresses

Primary practice location

81 Medical Center Dr Ste 1150
Brunswick, ME 04011-2765

Mailing address

81 Medical Center Dr Ste 1150
Brunswick, ME 04011-2765
Phone (207) 721-0911

Other practice location 1

5515 Peach St
Erie, PA 16509-2603
Phone (814) 868-8206

Other practice location 2

93 Campus Ave I2 Wing
Lewiston, ME 04240-6030
Phone (207) 777-8650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20190801001556 ME Practitioner - Otolaryngology 8820307960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of New England, College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000

81 Medical Ctr Dr
Brunswick, ME 04011-2765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT015658PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Dec 1, 2020 Accepting new patients
Mainegeneral Medical Center Otolaryngology CurrentSince Nov 17, 2025 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Apr 5, 2021 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 17, 2025 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients
Mainehealth CurrentSince Dec 1, 2020 Accepting new patients
Mainehealth Current Accepting new patients
St. Mary's Regional Medical Center CurrentSince Apr 5, 2021 Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

81 Medical Center Dr
Ste 1150
Brunswick, ME 04011
Phone (207) 721-0911

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-8650

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

1 Wellness Way
Ste A
Topsham, ME 04086
Phone (207) 386-1808

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: sgriffith364068@direct.mmc.mainehealth.org
  • Direct secure messaging: shanegriffith@mgh.allscriptsdirect.net

Organizations & group practices 8

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 1

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1114346251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 1150",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-721-0911",
            "fax_number": "207-721-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 1150",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-721-0911",
            "fax_number": "207-721-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5515 Peach St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165092603",
            "country_code": "US",
            "telephone_number": "814-868-8206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "93 Campus Ave I2 Wing",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406030",
            "country_code": "US",
            "telephone_number": "207-777-8650",
            "fax_number": "207-777-8641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "OT015658",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "DO2892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.