MS. DEANNA GRIFKA PA-C NPI 1689611402

NPI Information

  • NPI: 1689611402
  • Provider Name: MS. DEANNA GRIFKA, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 11900 E 12 MILE RD
    SUITE # 111
    WARREN, MI
    ZIP 48093
  • Phone: (586) 573-5300

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NPI Details

MS. Deanna Grifka, PA-C is a physician assistant in Warren, MI. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MS. Deanna Grifka, PA-C NPI is 1689611402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11900 E 12 MILE RD
SUITE # 111
WARREN, MI
ZIP 48093-400
Phone: (586) 573-5300
Fax: (586) 573-5304

The enumeration date for this NPI number is 6/1/2006 and was last updated on 10/10/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA9103122FLORIDANo
2363A00000XPhysician Assistant5601004096MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q60567MEDICARE UPINFLORIDA
2292314900MEDICAIDFLORIDA
3M57830007OTHERMICHIGANMEDICARE NUMBER
429Z314900MEDICAIDFLORIDA

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: 3/30/2025

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