Healthcare Provider Details

I. General information

NPI: 1356828073
Provider Name (Legal Business Name): JAMES M GRIFFITH IV HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 KEMPER COMMONS CIR
SPRINGDALE OH
45246-2544
US

IV. Provider business mailing address

5132 MONTGOMERY RD APT 7
CINCINNATI OH
45212-2267
US

V. Phone/Fax

Practice location:
  • Phone: 513-826-3052
  • Fax:
Mailing address:
  • Phone: 513-504-6921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number03282
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: