Individual provider Active NPI

Denise Kathryn Griffin, M.D.

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1780638577
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME00647727 Issued in FL
Practice address
6101 Webb Rd
Suite 210
Tampa, FL 33615-2872
Phone
(813) 249-0922
Fax
(813) 886-3903
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 49965 KY
Neurology Physician 2084N0400X ME00647727 FL Primary

Addresses

Primary practice location

6101 Webb Rd
Suite 210
Tampa, FL 33615-2872

Mailing address

6101 Webb Rd
Suite 210
Tampa, FL 33615-2872
Phone (813) 249-0922

Other identifiers 3

IdentifierTypeStateIssuer
377841000MedicaidFL
7100448570MedicaidKY
300001695MedicaidIN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101115000796 FL Practitioner - Neurology 8325232549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of South Florida College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurologic Care Center, P.a.Group PAC ID 7416141635, 2 clinicians

Practice addresses (Care Compare)

6101 Webb Rd
Tampa, FL 33615-2865
Phone (813) 249-0922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME00647727FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurologic Care Center, P.a. Neurology CurrentSince Jan 1, 1996 Accepting new patients

Locations

6101 Webb Rd
Ste 210
Tampa, FL 33615
Phone (813) 249-0922

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1780638577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD",
            "address_2": "SUITE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152872",
            "telephone_number": "813-249-0922",
            "fax_number": "813-886-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD",
            "address_2": "SUITE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152872",
            "telephone_number": "813-249-0922",
            "fax_number": "813-886-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DENISE",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "49965",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME00647727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377841000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100448570",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300001695",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.