NPIMap

Organization Active NPI

Radley L Griffin MD PL

  • Specialist
  • Tampa, FL
National Provider Identifier
1194908517
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME93435 Issued in FL
Legal business name
RADLEY L GRIFFIN MD PL
Practice address
2420 W Mississippi Ave
Tampa, FL 33629-6110
Phone
(813) 350-9090
Fax
(833) 941-2649
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Dr. Radley L Griffin, M.D
Title
Physician
Phone
(813) 350-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME93435 FL Primary

Addresses

Primary practice location

2420 W Mississippi Ave
Tampa, FL 33629-6110

Mailing address

2420 W Mississippi Ave
Tampa, FL 33629-6110
Phone (813) 350-9090

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1089483Radley L Griffin MD PL2420 W Mississippi Ave, Tampa, FL 33629Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory

Locations

1315 S Howard Ave
Ste 102
Tampa, FL 33606
Phone (813) 350-9090

2420 W Mississippi Ave
Tampa, FL 33629
Phone (813) 350-9090

602 S Audubon Ave
Ste C
Tampa, FL 33609
Phone (813) 817-5073

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1194908517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W MISSISSIPPI AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296110",
            "telephone_number": "813-350-9090",
            "fax_number": "833-941-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W MISSISSIPPI AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296110",
            "telephone_number": "813-350-9090",
            "fax_number": "833-941-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADLEY L GRIFFIN MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RADLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-350-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME93435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.