Provider Demographics
NPI:1831490010
Name:DUBLIN FOOT AND ANKLE
Entity Type:Organization
Organization Name:DUBLIN FOOT AND ANKLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:614-267-8387
Mailing Address - Street 1:3695 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3520
Mailing Address - Country:US
Mailing Address - Phone:614-267-8387
Mailing Address - Fax:614-267-2250
Practice Address - Street 1:6850 PERIMETER DR
Practice Address - Street 2:SUITE B
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8051
Practice Address - Country:US
Practice Address - Phone:614-267-8387
Practice Address - Fax:614-761-1809
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLINTONVILLE FOOT AND ANKLE GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36 002076213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty