Provider Demographics
NPI:1750497178
Name:GRIFFITHS, RICHARD LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEE
Last Name:GRIFFITHS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 GRANDVIEW AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1729
Mailing Address - Country:US
Mailing Address - Phone:717-988-8200
Mailing Address - Fax:717-221-5644
Practice Address - Street 1:225 GRANDVIEW AVE STE 303
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1729
Practice Address - Country:US
Practice Address - Phone:717-988-8200
Practice Address - Fax:717-221-5644
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-010741L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010337060001Medicaid
PA314899OtherHEALTH AMERICA
PA1539431OtherGATEWAY GROUP #
PA079026OtherMEDICARE
PA50038688OtherCAPITAL BLUE- PROVIDER #
PA3610999OtherAETNA HMO
PA50038689OtherCAPITAL BLUE- GROUP #
PAGR1626019OtherHIGHMARK BLUE SHIELD
PAI06317Medicare UPIN
PA50038689OtherCAPITAL BLUE- GROUP #