Provider Demographics
NPI:1801955034
Name:MCGRIFF, PATRICK K (DO)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:K
Last Name:MCGRIFF
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:8291 TEGMEN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-6073
Mailing Address - Country:US
Mailing Address - Phone:614-404-1024
Mailing Address - Fax:
Practice Address - Street 1:5175 E MAIN ST
Practice Address - Street 2:PREMIUM MEDICAL CARE, LLC
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2425
Practice Address - Country:US
Practice Address - Phone:614-575-1200
Practice Address - Fax:614-575-9405
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34006573M207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G61266Medicare UPIN
OH4114349Medicare PIN