JEREMY GRIFFIS (NPI# 1417466269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417466269 |
| Entity Type | Individual |
| Full Name | JEREMY GRIFFIS |
| Credential | PA-C |
| Practice Address |
2101 Emrick Blvd Ste 101 Bethlehem PA 18020-8040 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 4848953360 |
| Practice Fax Number | 6108684033 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2018-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA059323 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1431 Nursery St Ste 101a, Fogelsville, PA 180511612 | 6103951936 | 6103957263 |
| 2401 Northampton St, Suites 130 and 140, Easton, PA 180452764 | 4845917420 | 4845917421 |
| 3701 Corriere Rd Ste 14, Easton, PA 180457991 | 4845917010 | 4845917011 |
| 14351 Kutztown Rd, Fleetwood, PA 195229273 | 6109448800 | 6109448213 |
| 6451 Village Ln, Macungie, PA 180628484 | 6109672772 | 6109672559 |
| 3691 Crescent Ct E Ste 100, Whitehall, PA 180523457 | 6104349561 | 6104345122 |
| 863 Nazareth Pike, Nazareth, PA 180649001 | 4843733260 | 4843733128 |
| Street Address |
2101 EMRICK BLVD STE 101 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-8040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
| 1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
| 1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
| Find all providers in zip 18020 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782648 | Emily A Hake | Physician Assistant | 801 Ostrum St Fl Street2, Bethlehem, PA 18015-1000 | 2019-10-21 |
| 1841767456 | Jason T Trahan | Physician Assistant | 1469 8th Avene, Bethlehem, PA 18018-2256 | 2018-11-01 |
| 1346753258 | Robert L Gonzalez | Physician Assistant | 801 Ostrum St Fl St2, Bethlehem, PA 18015-1000 | 2017-11-14 |
| 1073023990 | Shana E Peterson | Physician Assistant | 1342 Chelsea Ave, Bethlehem, PA 18018-2459 | 2017-10-05 |
| 1023560059 | Brianna Taylor | Physician Assistant | 2571 Baglyos Cir Ste B29, Bethlehem, PA 18020-8050 | 2016-10-25 |
| 1609115161 | Ashley Nicole Pane | Physician Assistant | 236 Brodhead Rd, Bethlehem, PA 18017-8937 | 2013-02-04 |
| 1104143924 | Nicole M Herrick | Physician Assistant | 2597 Schoenersville Rd Ste 100, Bethlehem, PA 18017 | 2010-05-04 |
| 1619092202 | John Paul Rose | Physician Assistant | St Luke's Hospital - Critical Care Division, 801 Ostrum Street, Bethlehem, PA 18015 | 2007-03-20 |
| 1396859062 | John D Page | Physician Assistant | Lvpg Expresscare Muhlenberg, 2649 Schoenersville Road Suite 201, Bethlehem, PA 18017-7316 | 2006-08-18 |
| 1902800394 | Josefina Andrea Valdivieso | Physician Assistant | 2775 Schoenersville Rd, Bethlehem, PA 18017-7307 | 2005-06-13 |
| Find all providers in BETHLEHEM | ||||
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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.