Individual provider Active NPI

Todd Griffin, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1942898085
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118079 Issued in FL
Practice address
300 NW 70TH Ave Ste 105
Plantation, FL 33317-2360
Phone
(954) 585-6292
NPI assigned
Jan 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118079 FL Primary

Addresses

Primary practice location

300 NW 70TH Ave Ste 105
Plantation, FL 33317-2360

Mailing address

300 NW 70TH Ave Ste 105
Plantation, FL 33317-2360
Phone (954) 585-6292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA9118079FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mudit Jain MD PA CurrentSince Jan 28, 2024 Accepting new patients
Broward Multispecialty Group LLC PastSince Jan 28, 2024 Accepting new patients

Locations

300 NW 70th Ave
Ste 105
Plantation, FL 33317
Phone (954) 585-6292

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.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1942898085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE STE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172360",
            "telephone_number": "954-585-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE STE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172360",
            "telephone_number": "954-585-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TODD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.