NPIMap

Individual provider Active NPI

Mary Macdonald Griffin, MD

  • Family Medicine Physician
  • Ogden, UT
National Provider Identifier
1831776392
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042.0018041 Issued in VT
Practice address
4403 Harrison Blvd Ste 700a
Ogden, UT 84403-3295
Phone
(801) 387-5300
Fax
(801) 387-5333
NPI assigned
Mar 29, 2021
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 042.0018041 VT Primary

Addresses

Primary practice location

4403 Harrison Blvd Ste 700a
Ogden, UT 84403-3295

Mailing address

4403 Harrison Blvd Ste 700a
Ogden, UT 84403-3295
Phone (801) 387-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231117001078 UT Practitioner - Family Practice 6901253673 Reassigns benefits to 1 organization
I20250310000793 VT Practitioner - Family Practice 6901253673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Rivers Health Care, Inc.Group PAC ID 8224031497, 30 clinicians

Practice addresses (Care Compare)

437 S Main St
Bradford, VT 05033-0338
Phone (802) 222-9317

4628 Main St S
Newbury, VT 05051-9712
Phone (802) 866-3000

65 Main St
Wells River, VT 05081-3000
Phone (807) 757-2325

720 Village Rd
East Corinth, VT 05040-9783
Phone (802) 439-5321

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rivers Health Care, Inc. CurrentSince Mar 6, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Little Rivers Health Care, Inc. Family Medicine CurrentSince Mar 6, 2025 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 9, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 9, 2023 Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 1A
Layton, UT 84041
Phone (801) 543-6875

4403 Harrison Blvd
Ste 700A
Ogden, UT 84403

1915 W 5950 S
Roy, UT 84067
Phone (801) 387-8100

6 Waits River Vly School Rd
East Corinth, VT 05040
Phone (802) 222-3000

4628 Main St S
Newbury, VT 05051
Phone (802) 866-3000

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1831776392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD STE 700A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033295",
            "telephone_number": "801-387-5300",
            "fax_number": "801-387-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD STE 700A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033295",
            "telephone_number": "801-387-5300",
            "fax_number": "801-387-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MARY",
        "middle_name": "MACDONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0018041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.