Wendell Griffin (NPI# 1518205269, PAC ID# 6800031923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1518205269 |
| PAC ID by PECOS | 6800031923 |
| Professional Enrollment ID | I20130320000573 |
| Full Name | Wendell Griffin |
| Organization Legal Name | KENTUCKY ANESTHESIA GROUP PSC |
| Address |
1140 Lexington Rd Georgetown KY 40324-9330 |
| Phone Number | 5028681100 |
| Gender | M |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4082527890 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180080 | BAPTIST HEALTH CORBIN |
| 180011 | SAINT JOSEPH LONDON |
| Address | Phone | Organization |
|---|---|---|
| 1 Trillium Way, Corbin, KY 40701-8727 | 6065281212 | KENTUCKY ANESTHESIA GROUP PSC |
| 1140 Lexington Rd, Georgetown, KY 40324-9330 | 5028681100 | KENTUCKY ANESTHESIA GROUP PSC |
| Organization Legal Name | KENTUCKY ANESTHESIA GROUP PSC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Harwood | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 5000 Kentucky, Suite 321, Prestonsburg, KY 41653 |
| Stanley A Kristiansen | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 320 Loretto Rd, Lebanon, KY 40033-1300 |
| Michael D. Goodwin | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Crystal Carpenter | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Corissa L. Stovall | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Harry A Morgan | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Benjamin T Kabel | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Bradford A Shelby | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1 Trillium Way, Corbin, KY 40701-8727 |
| Anthony Jay Lopez | Anesthesiology | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Jason E Wilson | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 9 Linville Rd, Paris, KY 40361-2129 |
| Street Address |
1140 LEXINGTON RD |
| City | GEORGETOWN |
| State | KY |
| Zip | 40324-9330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Yezzo | Qualified Audiologist | Ear Nose and Throat Specialists Pllc | 1140 Lexington Rd, Suite 102, Georgetown, KY 40324-9330 |
| Kent Edward Taylor | Medical Oncology | Kentucky Mso LLC | 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9362 |
| Tara J Ramsey | Emergency Medicine | Southeastern Emergency Physicians LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Crystal Carpenter | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Joseph E Thomas | Cardiovascular Disease (cardiology) | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Kaci M Wathen | Qualified Audiologist | Ear Nose and Throat Specialists Pllc | 1140 Lexington Rd, Suite 102, Georgetown, KY 40324-9330 |
| Henry R Preston | Family Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Leslie A Asbury | Otolaryngology | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Ronald G Shashy Jr. | Otolaryngology | Ear Nose and Throat Specialists Pllc | 1140 Lexington Rd, Suite 102, Georgetown, KY 40324-9330 |
| Joel Anthony Knight | Internal Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilma J Peeples | Clinical Social Worker | 107 Frazier Sourt, 2c, Georgetown, KY 40324 | |
| Gary L Mills | Chiropractic | 407 S Broadway, Georgetown, KY 40324-1342 | |
| Tiffany M Shelton | Nurse Practitioner | Minuteclinic Diagnostic of Kentucky LLC | 101 W Showalter Dr, Georgetown, KY 40324-2081 |
| Jessica L Henry | Nurse Practitioner | Minuteclinic Diagnostic of Kentucky LLC | 101 W Showalter Dr, Georgetown, KY 40324-2081 |
| James J Gullett | Ophthalmology | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| William W Richardson Ii | Ophthalmology | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| Stefanie Adams | Optometry | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| Ivan Morrin | Family Medicine | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Brett A Oliver | Family Medicine | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Amy J Cox | Nurse Practitioner | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Find all physicians in zip 40324 | |||
| City | GEORGETOWN |
| Zip Code | 40324 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GEORGETOWN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Wendell Griffin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.