Thomas Daniel Griffin Jr., M.D

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD458245 Issued in PA

Practice address

2 Cherry CT
Lafayette Hill, PA 19444-2517

Phone

(267) 625-9363

NPI assigned

Jun 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Jefferson Medical College of Thomas Jefferson University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Plymouth Meeting, P.C.Group PAC ID 6507841970, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.02 of 100Reported as group

Quality

93.73

Promoting interoperability

100

Improvement activities

40

Cost

86.35

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dermatology Associates of Plymouth Meeting, PC

  • Specialist
  • Plymouth Meeting, PA
  • NPI 1124082862
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1336402775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHERRY CT",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442517",
            "telephone_number": "267-625-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHERRY CT",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442517",
            "telephone_number": "267-625-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "THOMAS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD458245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Goldwater, DMD
• Melissa Gonska, PSY.D.
• Amy Gray, M.S.
• Veronica Griesemer
• Eric Eugene Griffin-Shelley Sr., PH.D.
• Michael James Gumby
• Tara C. Gutgesell, MA, LPC
• Brigitte Gutpelet, L.AC.
• Jennifer Hall, DPT
• Jessica Haney, O.D.

• Dermatology Physician in Lafayette Hill, PA
• Providers in Lafayette Hill, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.

Verify at the official NPI Registry.