Mary T Griffen, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

ME81316 Issued in FL

Practice address

2125 Crystal Grove Dr
Lakeland, FL 33801-6875

Phone

(863) 688-2334

Fax

(863) 577-0301

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Diagnostic Radiology

Education

University of Oklahoma College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology and Imaging Specialists of LakelandGroup PAC ID 2264422294, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
• Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052

Merit-based Incentive Payment System (MIPS)

Final score

86.74 of 100Reported as group

Quality

85

Improvement activities

40

Cost

74.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Radiology & Imaging Specialists of Lakeland

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1427049931
  Medicare reassignment Care Compare group
• Manatee Memorial Hospital L P

  • Other Specialist/Technologist
  • Bradenton, FL
  • NPI 1770505687
  Medicare reassignment NPD
• Manatee Memorial Hospital L P

  • Radiology Clinic/Center
  • Bradenton, FL
  • NPI 1558020552
  NPD
• Manatee Memorial Hospital LP

  • Body Imaging Physician
  • Bradenton, FL
  • NPI 1821458829
  NPD
• Radiology & Imaging Specialists of Lakeland, PA

  • Vascular & Interventional Radiology Physician
  • Lakeland, FL
  • NPI 1063032993

  Diagnostic Radiology

  NPD (past)
• Radiology & Imaging Specialists of Lakeland, PA

  • Diagnostic Radiology Physician
  • Kissimmee, FL
  • NPI 1124530761
  NPD (past)
• Shands Teaching Hospital and Clinics Inc

  • Pharmacy
  • Gainesville, FL
  • NPI 1497645915
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakeland Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  Care Compare affiliation
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  Care Compare affiliation

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1568435915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334",
            "fax_number": "863-577-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334",
            "fax_number": "863-577-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFEN",
        "first_name": "MARY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME81316",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME81316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265088600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Greiner
• Sasha Boris Grek, MD
• Nicholas Gresbach
• Roman Gressel, DPT
• Brittany Lynn Greve, APRN
• Abigael Griffin, LAT, ATC
• Ilene Shumaker Griffin
• Linda Griffin, MSW
• Robyn Griffin
• Andrea Elaine Griffith, LMFT

• Neuroradiology Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Neuroradiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.