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GRIFFIN FACULTY PHYSICIANS INC. NPI 1598755605


NPI Information

NPI: 1598755605
Provider Name: GRIFFIN FACULTY PHYSICIANS, INC.

Former Legal Business Name: GRIFFIN FACULTY PRACTICE PLAN, INC

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization

CLIA Number: 07D1037600

Address:
67 MAPLE AVE
2ND FLOOR
DERBY, CT
ZIP 06418
Phone: (203) 732-1330
Get Directions

GRIFFIN FACULTY PHYSICIANS, INC. is a thoracic surgery cardiothoracic vascular surgery in Derby, CT. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. GRIFFIN FACULTY PHYSICIANS, INC. NPI is 1598755605. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Griffin Faculty Practice Plan, Inc.

The provider's business location address is:

67 MAPLE AVE
2ND FLOOR
DERBY, CT
ZIP 06418-328
Phone: (203) 732-1330
Fax: (203) 732-1332

The provider's authorized official is Adam Dworkin .
The authorized official title is Executive Director and has the following contact phone number (203) 732-1508.

The CLIA number assigned to this NPI record is 07D1037600 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/28/2005 and was last updated on 2/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RB0002XInternal MedicineObesity MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RG0300XInternal MedicineGeriatric MedicineNo
5207VX0000XObstetrics & GynecologyObstetricsNo
6208000000XPediatricsNo
7208600000XSurgery049045CONNECTICUTNo
8208800000XUrologyNo
9208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)034350CONNECTICUTYes
10208M00000XHospitalistNo
11282N00000XGeneral Acute Care HospitalNo
12363AM0700XPhysician AssistantMedicalNo
13363LP0200XNurse PractitionerPediatricsNo
14363AS0400XPhysician AssistantSurgicalNo
15363LA2200XNurse PractitionerAdult Health003450CONNECTICUTNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.