Provider Demographics
NPI:1477358729
Name:GRIFFIN, JONATHAN II
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:GRIFFIN
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1549
Mailing Address - Country:US
Mailing Address - Phone:330-423-3414
Mailing Address - Fax:
Practice Address - Street 1:486 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1549
Practice Address - Country:US
Practice Address - Phone:330-423-3414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No171400000XOther Service ProvidersHealth & Wellness Coach