Theresa Ann Griffin Martin, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.000540RX Issued in OH

Practice address

110 Hidden Valley Rd
Canonsburg, PA 15317-2685

Phone

(724) 374-3468

Fax

(724) 258-8914

NPI assigned

Oct 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Theresa Ann Mitrik Former name

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• New Directions Mental Health, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • MC Murray, PA
  • NPI 1215904800
  Medicare reassignment Care Compare group
• Mercy Health Physicians Youngstown, LLC

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1154636066

  Physician Assistant

  Medicare reassignment NPD
• Comprehensive Behavioral Health Associates, Inc.

  • Professional Counselor
  • Youngstown, OH
  • NPI 1114985413
  Medicare reassignment
• Family Practice Associates of Western PA, PC

  • Family Medicine Physician
  • New Castle, PA
  • NPI 1710001417
  NPD (past)
• Jer Medical Associates

  • Specialist
  • New Castle, PA
  • NPI 1588674451
  NPD (past)
• New Castle Infectious Diseases LLC

  • Infectious Disease Physician
  • New Castle, PA
  • NPI 1114107398
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1952398232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KERRY CT APT 1212",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173081",
            "telephone_number": "330-503-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIDDEN VALLEY RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172685",
            "telephone_number": "724-374-3468",
            "fax_number": "724-258-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN MARTIN",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.000540RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073657",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "MITRIK",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Gowans
• Tiffany M Gray, PT, DPT
• Greenery Operating LLC
• Gretz Chiropractic
• Laurel Gretz Pisciottano, D.C.
• Michael Grimes, MD
• Mariah Leann Grimm
• Grounded Oak Counseling, LLC
• Amy Gruska, OT
• Lauren Gugliotti

• Physician Assistant in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; 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.

Verify at the official NPI Registry.