Active NPI
Blake Katharine Griffitts, PA
- Physician Assistant
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 744-7121
- NPI assigned
- Sep 10, 2020
- Last updated
- Oct 27, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | DE | Primary |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688
Other practice location 1
401 N Carter Rd Ste 101
Smyrna, DE 19977-1281
Phone (302) 659-2190
Other practice location 2
100 Wellness Way
Milford, DE 19963-4364
Phone (302) 422-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
401 N Carter Rd
Ste 101
Smyrna, DE 19977
Phone (302) 659-2190
Organizations & group practices 6
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.
-
dba Bayhealth Observation Physicians
- Emergency Medicine Physician
- Dover, DE
- NPI 1679072144
-
- Emergency Medicine Physician
- Dover, DE
- NPI 1073012696
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Christiana Care Emergency Physicians
- Emergency Medicine Physician
- Newark, DE
- NPI 1639956451
-
- Gastroenterology Physician
- Milford, DE
- NPI 1639938525
-
dba Bayhealth Cardiovascular & Thoracic Surgical Associates, Milford
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Milford, DE
- NPI 1801353610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1942815568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S. STATE STREET",
"address_2": "MAIL CODE 3055",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-480-1688",
"fax_number": "302-480-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-744-7121"
}
],
"practiceLocations": [
{
"address_1": "401 N Carter Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "DE",
"postal_code": "199771281",
"country_code": "US",
"telephone_number": "302-659-2190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Wellness Way",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "DE",
"postal_code": "199634364",
"country_code": "US",
"telephone_number": "302-422-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFITTS",
"first_name": "BLAKE",
"middle_name": "KATHARINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-10-27",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.