Active NPI
Ellie Anna Griffin, DO
- Ophthalmology Physician
- Bellingham, WA
National Provider Identifier
1891765616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- OP00002031
- Practice address
- 4540 Cordata Pkwy
Suite 103
Bellingham, WA 98226-8059 - Phone
- (360) 676-8663
- Fax
- (360) 676-8682
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OP00002031 | WA | Primary |
Addresses
Primary practice location
4540 Cordata Pkwy
Suite 103
Bellingham, WA 98226-8059
Mailing address
4540 Cordata Pkwy
Suite 103
Bellingham, WA 98226-8059
Phone (360) 676-8663
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0046298 | Other | L&I | |
| 7063910 | Medicaid | WA | |
| 199938 | Other | L&I | |
| 8432817 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1317 23Rd St
Bellingham, WA 98225-7231
Phone (360) 733-1407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellie Griffin DO PS | Ophthalmology | Current | Accepting new patients |
| Oregon Anesthesiology Group PC | Past | 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 and National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Bellingham, WA
- NPI 1427207802
Ophthalmology
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1891765616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 CORDATA PKWY",
"address_2": "SUITE 103",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982268059",
"telephone_number": "360-676-8663",
"fax_number": "360-676-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 CORDATA PKWY",
"address_2": "SUITE 103",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982268059",
"telephone_number": "360-676-8663",
"fax_number": "360-676-8682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "ELLIE",
"middle_name": "ANNA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "OP00002031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0046298",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7063910",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "199938",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8432817",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.