MS. ALYSSA CATHERINE GRIFFIN (NPI# 1154848356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154848356 |
Entity Type | Individual |
Full Name | MS. ALYSSA CATHERINE GRIFFIN |
Credential | PHYSICIAN ASSISTANT |
Practice Address |
265 Bridgeport Ave Medford NY 11763-4018 |
Practice Telephone | 6316187156 |
Practice Fax Number | 6316187156 |
Mailing Telephone | 6317418066 |
Enumeration Date | 2017-08-28 |
Last Update Date | 2017-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
021228 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144870437 | Alyssa Griffin | Anesthesiologist Assistant | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2019-09-18 |
1114581535 | Alyssa Griffin | Family Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2019-05-01 |
Street Address |
265 BRIDGEPORT AVE |
City | MEDFORD |
State | NY |
Zip Code | 11763-4018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
Find all providers in zip 11763 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760907125 | Amanda Stevens | Physician Assistant | 1731 N Ocean Ave Ste A, Medford, NY 11763-2670 | 2017-08-07 |
1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
1942491097 | Diana M Loo | Physician Assistant | 940 Royal Ave Unit 420, Medford, OR 97504-6194 | 2007-08-05 |
1821159658 | Dean W Moss | Physician Assistant | 3720 Fieldbrook Ave, Medford, OR 97504-9474 | 2006-12-13 |
1437762333 | Nicole Elisa Gregoire | Physician Assistant | 2900 State St, Medford, OR 97504-8458 | 2020-08-28 |
1043705460 | Hakan Binek | Physician Assistant | 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 | 2018-06-27 |
1659884401 | Savana Marisa Cochrane | Physician Assistant | 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 | 2017-11-14 |
1730692500 | Michael Jaskot | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-14 |
1740792316 | James Zheng Berking | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-03 |
1033588546 | Daniel Neville | Physician Assistant | 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 | 2015-09-15 |
Find all providers in MEDFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.