Active NPI
Shane Griffith, D.O.
- Otolaryngology Physician
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- DO2892
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT015658 | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainegeneral Medical Center | Otolaryngology | Current | Accepting new patients |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | 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
- sgriffith364068@direct.mmc.mainehealth.org
- 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.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
dba MaineGeneral Speciality Care
- General Acute Care Hospital
- Augusta, ME
- NPI 1083949184
Otolaryngology
-
dba MaineGeneral Pharmacy
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MaineHealth Maine Medical Center
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
-
dba St. Mary's d'Youville Pavilion
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MaineHealth Mid Coast Hospital
- General Acute Care Hospital
- Brunswick, ME
- NPI 1932164795
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.