Active NPI
Rogers C Griffith, M.D.
- Anatomic Pathology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD7166
- Practice address
- 164 Summit Ave
Department of Pathology
Providence, RI 02906-2853 - Phone
- (401) 793-4248
- Fax
- (401) 274-5154
- NPI assigned
- May 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MD7166 | RI | Primary |
Addresses
Primary practice location
164 Summit Ave
Department of Pathology
Providence, RI 02906-2853
Mailing address
164 Summit Ave
Department of Pathology
Providence, RI 02906-2853
Phone (401) 793-4248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7002744 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD7166 | RI | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
593 Eddy St
Providence, RI 02903
593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1306890892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 SUMMIT AVE",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062853",
"telephone_number": "401-793-4248",
"fax_number": "401-274-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SUMMIT AVE",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062853",
"telephone_number": "401-793-4248",
"fax_number": "401-274-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "ROGERS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "RI",
"license": "MD7166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7002744",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.