Active NPI
Dwayne M Griffin, D.O.
- Pulmonary Disease Physician
- Petoskey, MI
National Provider Identifier
1699789727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 5101007674
- Practice address
- 560 W Mitchell St
Suite 505
Petoskey, MI 49770-2275 - Phone
- (231) 487-2100
- Fax
- (231) 487-6049
- NPI assigned
- Jul 27, 2006
- Last updated
- Jan 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 5101007674 | MI | Primary |
Addresses
Primary practice location
560 W Mitchell St
Suite 505
Petoskey, MI 49770-2275
Mailing address
560 W Mitchell St
Ste 505
Petoskey, MI 49770-2275
Phone (231) 487-2100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114092379 | Medicaid | MI | |
| DG007674 | Other | MI | BS STATE LIC# |
| 295240013 | Other | MI | BCBSM PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Michigan State University College of Human Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
560 W Mitchell St
Suite 505
Petoskey, MI 49770-2277
Phone (231) 487-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007674 | MI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pulmonary and Sleep Medicine PC | Pulmonary Disease | Current | Accepting new patients |
| McLaren Northern Michigan | Past | Accepting new patients |
Locations
560 W Mitchell St
Ste 505
Petoskey, MI 49770
Phone (231) 487-2100
Interoperability endpoints
- dwaynegriffin@cpsm.allscriptsdirect.net
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.
-
- Pulmonary Disease Physician
- Petoskey, MI
- NPI 1962618215
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1699789727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST",
"address_2": "STE 505",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702275",
"telephone_number": "231-487-2100",
"fax_number": "231-487-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST",
"address_2": "SUITE 505",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702275",
"telephone_number": "231-487-2100",
"fax_number": "231-487-6049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "DWAYNE",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "5101007674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114092379",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS STATE LIC#",
"identifier": "DG007674",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PIN",
"identifier": "295240013",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.