Stephen Gerald Griep, P.A.

Individual provider Active NPI Surgical Physician Assistant · Wpafb, OH

NPI 1154311124 · NPPES record last updated May 20, 2026

Key facts

NPI
1154311124
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
NA
Practice address
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone
(937) 257-1877
Fax
(937) 656-1235
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150618001588 OH Order and Referring Only - Physician Assistant 6608187588

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NA Yes

Addresses

Primary practice location

4881 Sugar Maple Dr
Wpafb, OH 45433-5529

Mailing address

4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone (937) 257-1877

Other providers in Wpafb, OH

All providers in Wpafb, OH · Surgical Physician Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.