MICHAEL TODD GRIFFETH (NPI# 1891799839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891799839 |
| Entity Type | Individual |
| Full Name | MICHAEL TODD GRIFFETH |
| Credential | MD |
| Practice Address |
2376 N 400 E Ste 101 Tooele UT 84074-3413 |
| Practice Telephone | 4358438333 |
| Practice Fax Number | 4358438334 |
| Mailing Telephone | 4358438333 |
| Mailing Fax Number | 4358438334 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | M-8844 | ID | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 3089527-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 3089527-1205 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | ALTIUS | 268347 | 01 |
| UT | 1477588044 | 05 | |
| UT | CIGNA | 1114281 | 01 |
| UT | MOLINA | QMP000003333246 | 01 |
| UT | MAIL HANDLERS | 1818481 | 01 |
| ID | MEDICAID | 806715901 | 01 |
| UT | SELECTHEALTH | 107002804102 | 01 |
| UT | DAVIS VISION | 53583 | 01 |
| UT | EDUCATORS MUTUAL | 203908830MJG | 01 |
| UT | RR MEDICARE | P00402102 | 01 |
| UT | CLEARVUE NPI | 1477588044 | 01 |
| ID | BLUE SHIELD | 000010145834 | 01 |
| Street Address |
2376 N 400 E STE 101 |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457538043 | Mkg Enterprises | Ophthalmology | 196 E 2000 N, Suite 109, Tooele, UT 84074-9335 | 2008-01-25 |
| 1477588044 | Clearvue Inc | Ophthalmology | 2376 North 400 East, Building A Suite 101, Tooele, UT 84074-9335 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1679088041 | Steven R Young Md PC | Ophthalmology | 1300 N 500 E Ste 220, Logan, UT 84341-2472 | 2017-12-07 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1699126680 | Judd Michael Cahoon | Ophthalmology | 3281 E Santa Rosa Ave, Salt Lake City, UT 84109-4128 | 2016-06-30 |
| 1851740658 | Phillip Nathan Hale | Ophthalmology | 9215 E 500 S, Huntsville, UT 84317-9749 | 2016-06-13 |
| 1023471901 | David R Griffin | Ophthalmology | 1972 W Grove Pkwy, Ste 300, Pleasant Grove, UT 84062-8406 | 2016-03-30 |
| 1356706469 | John Christian Nelson | Ophthalmology | 3449 South 4155 West, Salt Lake City, UT 84109-2468 | 2015-12-17 |
| 1245625946 | Daniel Rubinstein | Ophthalmology | 9350 S 150 E Ste 400, Sandy, UT 84070-2773 | 2015-03-31 |
| 1750791182 | Kevin Kirk | Ophthalmology | 380 E 800 N, Richfield, UT 84701-1913 | 2014-05-07 |
| 1235496357 | Jack Dunyon Stringham II | Ophthalmology | 1055 N 300 W Ste 210, Provo, UT 84604-3374 | 2012-04-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL TODD GRIFFETH.
| 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.