Provider Demographics
NPI:1861461600
Name:GRIFFITH, TODD ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:ROBERT
Last Name:GRIFFITH
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 1:827 LAMAR ALEXANDER PKWY
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37802
Mailing Address - Country:US
Mailing Address - Phone:865-984-0900
Mailing Address - Fax:865-984-1035
Practice Address - Street 1:827 LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37802
Practice Address - Country:US
Practice Address - Phone:865-984-0900
Practice Address - Fax:865-984-1035
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD25523207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4461421OtherAETNA
TN100010120OtherTENNCARE
TN3084108Medicaid
TN1195829OtherUNITED HEALTH CARE
TN3071395OtherBLUE CROSS BLUE SHIELD
TNTN0137OtherJOHN DEERE HEALTHCARE
TNTN0183OtherJOHN DEERE HEALTHCARE
TN200030072OtherRAILROAD MEDICARE
TN200030072OtherRAILROAD MEDICARE
3084100Medicare ID - Type Unspecified
TN3084108Medicaid
TN3071395OtherBLUE CROSS BLUE SHIELD