Provider Demographics
NPI:1538131644
Name:GRIFFIN, STEVEN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PATRICK
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 ROUTE 36
Mailing Address - Street 2:
Mailing Address - City:OLIVEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15764
Mailing Address - Country:US
Mailing Address - Phone:814-938-7946
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL ROAD
Practice Address - Street 2:INDIANA REGIONAL MEDICAL CENTER
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:724-357-7169
Practice Address - Fax:724-357-7481
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011548E207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C31337Medicare UPIN
135688Medicare ID - Type Unspecified