DR. FRED FLYNT GRIFFITH (NPI# 1639108509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639108509 |
| Entity Type | Individual |
| Full Name | DR. FRED FLYNT GRIFFITH |
| Credential | M.D. |
| Practice Address |
450 Veterans Memorial Pkwy Building 11 East Providence RI 02914-5300 |
| Practice Telephone | 4014311860 |
| Practice Fax Number | 4014350328 |
| Mailing Telephone | 4014311860 |
| Mailing Fax Number | 4014350328 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2008-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
5704 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | UNITED HEALTHCARE | 0500305 | 01 |
| RI | BLUE CROSS BLUE SHIELD | 211703 | 01 |
| RI | BC/BS BLUE CHIP | 405987 | 01 |
| RI | FG33117 | 05 | |
| RI | NEIGHBORHOOD HEALTH | 2643 | 01 |
| RI | CIGNA | 1730485001 | 01 |
| RI | AETNA | 2328628 | 01 |
| Street Address |
450 VETERANS MEMORIAL PKWY BUILDING 11 |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516654 | Radiology Associates Inc | Radiology | 450 Veterans Memorial Pkwy, Building 2, East Providence, RI 02914-5300 | 2005-05-27 |
| 1265066492 | Hannah Eizabeth Masse | Dietitian, Registered | 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 | 2020-02-26 |
| 1679095608 | Kelly M Pereira | Optometrist | 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 | 2017-07-11 |
| 1063865368 | Sarah Dorothy Mosley | Dietitian, Registered | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 | 2016-07-21 |
| 1700252988 | Christine Massella | Dietitian, Registered | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 | 2015-08-11 |
| 1922486554 | Michelle Woolfrey | Nurse Practitioner | 450 Veterans Memorial Pkwy, Bldg. 6, East Providence, RI 02914-5300 | 2015-05-15 |
| 1992190847 | Margaret Cromwell | Dietitian, Registered | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 | 2015-03-30 |
| 1053704908 | Ann Garris | Nurse Practitioner | 450 Veterans Memorial Pkwy, Bldg. 4, East Providence, RI 02914-5300 | 2015-03-16 |
| 1760888234 | Kristen Lakoma | Dietitian, Registered | 450 Veterans Memorial Pkwy, Suite 8c, East Providence, RI 02914-5300 | 2014-11-11 |
| 1689078966 | Sarah Arpino | Dietitian, Registered | 450 Veterans Memorial Pkwy, Suite 8c, East Providence, RI 02914-5300 | 2014-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407079643 | Eastside Neurology, Inc. | Psychiatry & Neurology | 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914-5300 | 2007-04-10 |
| 1467481648 | Norman Mervyn Gordon | Psychiatry & Neurology | 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914-5300 | 2006-07-01 |
| 1346279528 | Vladislav Zayas | Psychiatry & Neurology | 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914-5300 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215597000 | Liqi Shu | Psychiatry & Neurology | Rhode Island Hospital, 593 Eddy St, Providence, RI 02903-4923 | 2019-06-14 |
| 1093998676 | Randy Kozel Md | Psychiatry & Neurology | 112 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2007-12-06 |
| 1982745923 | Southern New England Neurology,llc | Psychiatry & Neurology | 814 Metacom Ave, Bristol, RI 02809-5160 | 2007-02-11 |
| 1518040559 | Andrew Peter Lekos | Psychiatry & Neurology | Howard Complex, Regan Building, Cranston, RI 02920 | 2006-10-23 |
| 1487746467 | William J Golini | Psychiatry & Neurology | 725 Reservoir Avenue, Suite 308, Cranston, RI 02910 | 2006-09-28 |
| 1023039740 | Dennis Joseph Aumentado | Psychiatry & Neurology | 1065 Mendon Rd, Woonsocket, RI 02895-3927 | 2006-07-21 |
| 1982630927 | Edward M Donnelly | Psychiatry & Neurology | 1454 S County Trl, East Greenwich, RI 02818-1627 | 2006-06-23 |
| 1396703294 | Israel Yaar | Psychiatry & Neurology | Davis Park (127a), Va Medical Center, Providence, RI 02908 | 2006-05-02 |
| 1356308027 | Bristol Neurology, Inc | Psychiatry & Neurology | 448 Hope St, Bristol, RI 02809-1806 | 2006-04-27 |
| 1720045438 | Stephen T Mernoff | Psychiatry & Neurology | 877 Chalkstone Ave, Providence, RI 02908-4728 | 2006-04-27 |
| Find all providers with the same taxonomy | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
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| 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.