Individual provider Active NPI

Don Markley Griffith, DPM

  • Podiatrist
  • Petaluma, CA
National Provider Identifier
1609943836
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000E12550 Issued in CA
Practice address
108 Lynch Creek Wy
#3
Petaluma, CA 94954
Phone
(707) 763-2253
Fax
(707) 763-7030
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000E12550 CA Primary

Addresses

Primary practice location

108 Lynch Creek Wy
#3
Petaluma, CA 94954

Mailing address

108 Lynch Creek Wy
#3
Petaluma, CA 94954
Phone (707) 763-2253

Other identifiers 2

IdentifierTypeStateIssuer
03053OtherSAN QUENTIN IDENTIFIER
10952612OtherCAQH

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: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000E12550CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Hammer-Codd D.C., a Professional Chiropractic Corporat PastSince May 16, 2021 Accepting new patients
Ronald E Hammer, DC, a Professional Chiropractic Corporation 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609943836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LYNCH CREEK WY",
            "address_2": "#3",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "707-763-2253",
            "fax_number": "707-763-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LYNCH CREEK WY",
            "address_2": "#3",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "707-763-2253",
            "fax_number": "707-763-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "DON",
        "middle_name": "MARKLEY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "000E12550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAN QUENTIN IDENTIFIER",
            "identifier": "03053",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10952612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.