Active NPI
Kenneth Logan Griffith, C.R.N.A.
- Certified Registered Nurse Anesthetist
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- TLRN060830
- Practice address
- 25 Monument Rd Ste 270
York, PA 17403-5073 - Phone
- (717) 741-8250
- Fax
- (717) 741-8289
- NPI assigned
- Aug 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R139828 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | TLRN060830 | PA | Primary |
Addresses
Primary practice location
25 Monument Rd Ste 270
York, PA 17403-5073
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 741-8250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R139828 | Other | MD | STATE LICENSE |
| 403934300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6401 N Charles St
RM 4226
Baltimore, MD 21212-1016
Phone (443) 849-2121
6569 N Charles St PPW 1St Floor
Women'S Outpatient Surgical Center
Baltimore, MD 21204-6831
Phone (443) 849-2420
Hospital & facility affiliations
- Greater Baltimore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R139828 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| GBMC Hospital Based Services, LLC. | Current | Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
6401 N Charles St
Rm 4226
Baltimore, MD 21212
Phone (443) 849-2121
6701 N Charles St
#4226
Towson, MD 21204
Phone (410) 296-4616
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1730824400
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
Nurse Anesthetist, Certified Registered
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Diagnostic Radiology Physician
- York, PA
- NPI 1952587727
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1861494387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-741-8250",
"fax_number": "717-741-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MONUMENT RD STE 270",
"city": "YORK",
"state": "PA",
"postal_code": "174035073",
"telephone_number": "717-741-8250",
"fax_number": "717-741-8289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "KENNETH",
"middle_name": "LOGAN",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R139828",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "TLRN060830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "R139828",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403934300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.