Active NPI
David Norman Griggs, MD
- General Practice Physician
- Sumner, WA
National Provider Identifier
1407802838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00027971
- Practice address
- 1518 Main St
Sumner, WA 98390-1812 - Phone
- (253) 697-7400
- Fax
- (253) 863-8518
- NPI assigned
- May 26, 2006
- Last updated
- Dec 9, 2011
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD00027971 | WA | Primary |
Addresses
Primary practice location
1518 Main St
Sumner, WA 98390-1812
Mailing address
PO Box 40
Puyallup, WA 98371-0137
Phone (253) 697-5502
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4363951 | Other | WA | AETNA PROVIDER NUMBER |
| 98390A016 | Other | WA | TRICARE PROVIDER NUMBER |
| 1060482 | Medicaid | WA | |
| 9869GR | Other | WA | REGENCE RIDER NUMBER |
| 911203494BO | Other | WA | KPS PROVIDER NUMBER |
| 0186827 | Other | WA | L & I PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Past | Accepting new patients | |
| Good Samaritan Community Healthcare | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Good Samaritan Clinics
- Pain Medicine (Anesthesiology) Physician
- Puyallup, WA
- NPI 1437102399
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1407802838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983710137",
"telephone_number": "253-697-5502",
"fax_number": "253-697-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 MAIN ST",
"city": "SUMNER",
"state": "WA",
"postal_code": "983901812",
"telephone_number": "253-697-7400",
"fax_number": "253-863-8518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGGS",
"first_name": "DAVID",
"middle_name": "NORMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "MD00027971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4363951",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUMBER",
"identifier": "98390A016",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1060482",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER NUMBER",
"identifier": "9869GR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KPS PROVIDER NUMBER",
"identifier": "911203494BO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I PROVIDER NUMBER",
"identifier": "0186827",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.