Active NPI
Shawn P. Griffin, MD
- Family Medicine Physician
- Saint Joseph, MO
National Provider Identifier
1700804788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 113444
- Practice address
- 5210 North Belt Hwy
Saint Joseph, MO 64506-1211 - Phone
- (816) 271-4996
- Fax
- (816) 271-4926
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 113444 | MO | Primary |
Addresses
Primary practice location
5210 North Belt Hwy
Saint Joseph, MO 64506-1211
Mailing address
5210 North Belt Hwy
Saint Joseph, MO 64506-1211
Phone (816) 271-4996
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400268 | Other | MO | BLUE CROSS/BLUE SHIELD KS |
| 100395630A | Medicaid | KS | |
| 246807846 | Medicaid | MO | |
| 2042934 | Other | MO | AETNA |
| 10001084500 | Other | MO | COMMUNITY HEALTH PLAN |
| 26D0896653 | Other | MO | CLIA |
| 24468016 | Other | MO | BLUE CROSS/BLUE SHIELD KC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1700804788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 NORTH BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645061211",
"telephone_number": "816-271-4996",
"fax_number": "816-271-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 NORTH BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645061211",
"telephone_number": "816-271-4996",
"fax_number": "816-271-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "SHAWN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "113444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD KS",
"identifier": "400268",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100395630A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "246807846",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2042934",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "10001084500",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "26D0896653",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD KC",
"identifier": "24468016",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.