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Contact Information

MARK N GRIFFITH, MD
1000 MON HEALTH MEDICAL PARK DR STE 1102
MORGANTOWN, WV26505
 Phone: 304-598-2801
 Fax: 304-599-6463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK N GRIFFITH · (Male)

NPI # 1710912399
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 08/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 25206
  • WI License # 65883
  • WV License # 28054
  • KY Medicaid 64089907
  • KY Other 36000818 ASC MEDICAID GROUP
  • KY Other ASC1019 ASC MEDICARE GROUP
  • KY Other 37903705 MEDICAID LAB GROUP
  • KY Other 4000501 MEDICARE LAB GROUP
  • KY Other CB5773 RR MEDICARE GROUP
  • KY Other P00179690 RR MEDICARE PIN
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HSPTL - (Critical Access)
    855 S MAIN ST
    OCONTO FALLS, WI 54154
  • ST MARYS HSPTL MED CTR - (Acute Care)
    1726 SHAWANO AVE
    GREEN BAY, WI 54303
  • ST VINCENT HSPTL - (Acute Care)
    835 S VAN BUREN ST
    GREEN BAY, WI 54301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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