Brian S Griffin
Individual provider Active NPI Chiropractor · Carey, OH
NPI 1770935207 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1770935207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4630 (OH)
- Practice address
- 923 Summer Dr Ste C
Carey, OH 43316-3504 - Phone
- (419) 396-6343
- Fax
- (419) 396-3098
- NPI assigned
- Jul 8, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scott E Griffin DC Inc
Practice addresses (Care Compare)
100 N Main St
Nevada, OH 44849-0124
Phone (740) 482-1800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160804000757 | OH | Practitioner - Chiropractic | 2769776350 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4630 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott E. Griffin, D.C., Inc. | Chiropractor | Current |
Accepting new patients |
Locations
105 E South St
Carey, OH 43316
Phone (419) 396-6343
923 Summer Dr
Ste C
Carey, OH 43316
Phone (419) 396-6343
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4630 | OH | Yes |
Addresses
Primary practice location
923 Summer Dr Ste C
Carey, OH 43316-3504
Mailing address
923 Summer Dr Ste C
Carey, OH 43316-3504
Phone (419) 396-6343
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0820991 | Medicaid | OH |
Other providers in Carey, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.