JACK GRIFFIN (NPI# 1235679663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235679663 |
| Entity Type | Individual |
| Full Name | JACK GRIFFIN |
| Practice Address |
3006 Big Divide Rd Copperas Cove TX 76522-3235 |
| Practice Telephone | 2543715774 |
| Mailing Telephone | 2543715774 |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2017-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 05004 | TX | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427301464 | Jack Conway Griffin | Occupational Therapist | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2012-10-15 |
| 1558457903 | Jack Dean Griffin Jr. | Dentist | 18 Hilltop Village Center Dr, Eureka, MO 63025 | 2006-10-05 |
| Street Address |
3006 BIG DIVIDE RD |
| City | COPPERAS COVE |
| State | TX |
| Zip Code | 76522-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150540 | Kassandra Bills | Physical Therapist | 1521 E Us-190, Copperas Cove, TX 76522 | 2020-09-30 |
| 1295340529 | William Edmond Wicheta Iv | Dentist | 3010 East Highway 190 Ste 130, Copperas Cove, TX 76522 | 2020-09-14 |
| 1669081923 | Southern Hills Chiropractic | Chiropractor | 1856 Patriot Cir, Copperas Cove, TX 76522 | 2020-07-23 |
| 1033735519 | Cody Michael Elenz | Chiropractor | 1856 Patriot Circle, Copperas Cove, TX 76522 | 2020-06-22 |
| 1811526247 | Silas Michael Lowery | Occupational Therapist | 1521 East Us 190, Copperas Cove, TX 76522 | 2020-04-07 |
| 1205475845 | Mia Campos | Behavioral Analyst | 1315 Mlk Jr Dr, Copperas Cove, TX 76522 | 2019-12-30 |
| 1952954638 | Cassidy Jo Mayo | Pharmacist | 2290 East Highway 190, Copperas Cove, TX 76522 | 2019-07-22 |
| 1629639448 | Van Anh Teresa Nguyen | Dentist | 2726 East Hwy 190, Suite 112, Copperas Cove, TX 76522 | 2019-06-24 |
| 1558925636 | Copperas Cove Dentistry and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 2726 E Business 190 Suite 112, Copperas Cove, TX 76522 | 2019-04-24 |
| 1336604867 | Lspd At Cove Pllc | Dentist | 2705 E Hwy 190, Suite 101, Copperas Cove, TX 76522 | 2019-02-08 |
| Find all providers in zip 76522 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868896 | Capitol Medical Service, LLC | Emergency Medical Technician, Paramedic | 1107 River Ridge Dr, Austin, TX 78732-6133 | 2020-10-09 |
| 1699389544 | Kevin Nichols | Emergency Medical Technician, Paramedic | 8004 Lanham Ln, Houston, TX 77075-2653 | 2020-09-08 |
| 1952915373 | Evan J Bradley | Emergency Medical Technician, Paramedic | 11504 Arbroath Ln, Austin, TX 78754-5958 | 2020-09-02 |
| 1427669183 | Crystal Lane King | Emergency Medical Technician, Paramedic | 736 Lake Carolyn Pkwy Apt 146w, Irving, TX 75039-3995 | 2020-08-14 |
| 1023636297 | Erik Michael Hassan | Emergency Medical Technician, Paramedic | 22607 Coriander Dr, Katy, TX 77450-1523 | 2020-07-13 |
| 1992323448 | Ricardo Valentin Aldape | Emergency Medical Technician, Paramedic | 3902 Ashwood Dr, Pearland, TX 77584-9200 | 2020-07-10 |
| 1982234852 | Adriana Benson | Emergency Medical Technician, Paramedic | 2408 E 20th St, Mission, TX 78572-3389 | 2020-01-20 |
| 1497395008 | Keith Dean Drake | Emergency Medical Technician, Paramedic | 12609 Javea Dr, Austin, TX 78739-1541 | 2020-01-11 |
| 1689237810 | Samantha A Stockreef | Emergency Medical Technician, Paramedic | 906 N Old Robinson Rd, Robinson, TX 76706-5237 | 2019-04-14 |
| 1144715269 | Zachary Yancey Paul | Emergency Medical Technician, Paramedic | 1716 Hal Ave, Cleburne, TX 76031-7614 | 2018-06-30 |
| Find all providers with the same taxonomy | ||||
| City | COPPERAS COVE |
| Zip Code | 76522 |
Please comment or provide details below to improve the information on JACK GRIFFIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.