Provider Demographics
NPI:1508281536
Name:GRIFFITH & CO. SURGICAL FIRST ASSISTING, LLC
Entity Type:Organization
Organization Name:GRIFFITH & CO. SURGICAL FIRST ASSISTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:CSFA
Authorized Official - Phone:859-415-2862
Mailing Address - Street 1:PO BOX 72993
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41072-0993
Mailing Address - Country:US
Mailing Address - Phone:859-415-2862
Mailing Address - Fax:859-415-2863
Practice Address - Street 1:835 MONROE ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2062
Practice Address - Country:US
Practice Address - Phone:859-415-2862
Practice Address - Fax:859-415-2863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty