Joel Griffith, | |
4100 Park Forest Dr Ste 210, Traverse City, MI 49684-7306 | |
(231) 935-5770 | |
Not Available |
Full Name | Joel Griffith |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4100 Park Forest Dr Ste 210, Traverse City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518615145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704380140 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704380140 (Michigan) | Primary |
Entity Name | Traverse Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013966506 PECOS PAC ID: 5597750091 Enrollment ID: O20040415000576 |
Entity Name | Kalkaska Memorial Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013183060 PECOS PAC ID: 3577536002 Enrollment ID: O20040813000668 |
Entity Name | Munson Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
Mailing Address | Practice Location Address |
---|---|
Joel Griffith, 1039 Solomon Sq, Delaware, OH 43015-7669 Ph: (734) 274-1563 | Joel Griffith, 4100 Park Forest Dr Ste 210, Traverse City, MI 49684-7306 Ph: (231) 935-5770 |
Scott Stone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Christina Dalton Pryde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Mitchell Reynolds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Jonathan P Gunsberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Reid Compagner, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Munson Medical Center, 1105 Sixth Street, Traverse City, MI 49684 Phone: 231-935-7690 | |
Michelle Hodges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Mona L Mackey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 |