Individual provider Active NPI

Patrick K McGriff, D.O.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1801955034
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006573M Issued in OH
Practice address
5175 E Main St
Premium Medical Care, LLC
Columbus, OH 43213-2425
Phone
(614) 575-1200
Fax
(614) 575-9405
NPI assigned
Dec 6, 2006
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34006573M OH Primary

Addresses

Primary practice location

5175 E Main St
Premium Medical Care, LLC
Columbus, OH 43213-2425

Mailing address

8291 Tegmen St
Columbus, OH 43240-6073
Phone (614) 404-1024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070222000556 OH Practitioner - Family Practice 8022110071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34006573MOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Institute of Cardiac Care, Inc Past Accepting new patients
Progressive Health and Rehab Corp PastSince Dec 11, 2018 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1801955034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8291 TEGMEN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406073",
            "telephone_number": "614-404-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E MAIN ST",
            "address_2": "PREMIUM MEDICAL CARE, LLC",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132425",
            "telephone_number": "614-575-1200",
            "fax_number": "614-575-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRIFF",
        "first_name": "PATRICK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006573M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.