Individual
CARL D GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
(765) 448-8702
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01030600A
IN
2083X0100X
Occupational Medicine Physician
Primary
01030600A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197993
ANTHEM PROVIDER NUMBER
IN
05
—
100085950
—
IN
01
—
10825175
CAQH NUMBER
IN
01
—
9397093
PHCS PID NUMBER
IN
05
—
GR15376011
—
IN
Enumeration date
03/15/2006
Last updated
07/23/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us