Individual
DR. JOHN JOSEPH GRIFFIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3064
(757) 395-5300
(757) 213-9341
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101039856
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101039856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
CHAMPUS/TRICARE
VA
05
—
006055532
—
VA
05
—
006096182
—
VA
01
—
0572B
BC/BS NC
NC
01
—
15739
OPTIMA/SENTARA
VA
01
—
285856
ANTHEM BCBS
VA
01
—
40315
SENTARA OHP/SHP
VA
01
—
428974
UHC/MAMSI/MDIPA
VA
01
—
453601
ANTHEM BC/BS
VA
05
—
890572B
—
NC
01
—
PAR
FIRST HEALTH
VA
Enumeration date
02/17/2006
Last updated
02/24/2015
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