Provider Demographics
NPI:1225287519
Name:WILLIAM SCOTT GRIFFIES MD LLC
Entity Type:Organization
Organization Name:WILLIAM SCOTT GRIFFIES MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GRIFFIES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-239-8168
Mailing Address - Street 1:536 BIENVILLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-2257
Mailing Address - Country:US
Mailing Address - Phone:504-355-0509
Mailing Address - Fax:504-355-0508
Practice Address - Street 1:536 BIENVILLE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-2257
Practice Address - Country:US
Practice Address - Phone:504-355-0509
Practice Address - Fax:504-355-0508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0166242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1391832Medicaid
5K461Medicare PIN
E 19386Medicare UPIN