Walter James Griffin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD36607 Issued in MO

Practice address

9111 Olive Blvd
Apt. 1C
Saint Louis, MO 63132-3724

Phone

(314) 991-2761

NPI assigned

Dec 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• County of St Louis Division of Fiscal Management

  dba John C. Murphy Health Center

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1861675688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 OLIVE BLVD",
            "address_2": "APT. 1C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323724",
            "telephone_number": "314-991-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 OLIVE BLVD",
            "address_2": "APT. 1C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323724",
            "telephone_number": "314-991-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "WALTER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MD36607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203049309",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Adair Griffin, MA
• Minetta Marie Griffin
• Susan Cornelia Griffin, MSW, LCSW
• Tamika T Griffin
• Tiffany Rene Griffin
• George T Griffing, MD
• Griffith Enterprises LLC (Home Instead Senior Care)
• Angela Griffith
• Calie Rae Mogran Griffith
• Erin M Griffith

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.