| Carl D Griffin, MD | |
|
2600 Greenbush St, Lafayette, IN 47904-2477 | |
| (765) 448-8000 | |
| (765) 448-8702 |
| Full Name | Carl D Griffin |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 2600 Greenbush St, Lafayette, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578532305 | NPI | - | NPPES |
| 000000197993 | Other | IN | ANTHEM PROVIDER NUMBER |
| GR15376011 | Medicaid | IN | |
| 10825175 | Other | IN | CAQH NUMBER |
| 100085950 | Medicaid | IN | |
| 9397093 | Other | IN | PHCS PID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 01030600A (Indiana) | Primary |
| 207R00000X | Internal Medicine | 01030600A (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Carl D Griffin, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Carl D Griffin, MD 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000 |
Elizabeth Riggs, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Unity Pl, Suite B, Lafayette, IN 47905 Phone: 765-446-1362 Fax: 765-446-1007 | |
Dr. John Carroll Shively, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3701 State Road 26 E, Lafayette, IN 47905 Phone: 765-448-5800 Fax: 765-448-2032 |