Active NPI
Allen T Griffin II MD LLC
- Infectious Disease Physician
- Georgetown, KY
National Provider Identifier
1124510136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 43545
- Legal business name
- ALLEN T GRIFFIN II MD LLC
- Practice address
- 1138 Lexington Rd Ste 290
Georgetown, KY 40324 - Phone
- (502) 863-0721
- Fax
- (502) 863-6104
- NPI assigned
- Jun 5, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Patricia A King
- Title
- Practice Manager
- Phone
- (502) 863-0721
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Georgetown, KY
- NPI 1669471645
NPD INTERNAL MEDICINE -
- Medical Physician Assistant
- Georgetown, KY
- NPI 1285829556
National Provider Directory
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 43545 | KY | |
| Infectious Disease Physician | 207RI0200X | 43545 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1138 Lexington Rd Ste 290
Georgetown, KY 40324
Mailing address
1138 Lexington Rd Ste 290
Georgetown, KY 40324-9672
Phone (502) 863-0721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2018.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537401600000",
"number": "1124510136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 LEXINGTON RD STE 290",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249672",
"telephone_number": "502-863-0721",
"fax_number": "502-863-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 LEXINGTON RD STE 290",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "40324",
"telephone_number": "502-863-0721",
"fax_number": "502-863-6104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEN T GRIFFIN II MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-05",
"last_updated": "2018-09-20",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "502-863-0721"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": "43545",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "KY",
"license": "43545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.