MEDICARE: NANCY W GRIFFITH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01027773A	IN
2	207VX0000X	Obstetrics Physician	01027773A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01430097	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487758934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY W GRIFFITH MD

Provider Business Mailing Address
First Line	:	1516 WASHINGTON ST
Second Line	:
City	:	NEW CASTLE
State	:	IN
Zip	:	47362-4355
Country	:	US
Telephone Number	:	765-521-3161
Fax Number	:	765-521-2635

Provider Business Practice Location Address
First Line	:	1516 WASHINGTON ST
Second Line	:
City	:	NEW CASTLE
State	:	IN
Zip	:	47362-4355
Country	:	US
Telephone Number	:	765-521-3161
Fax Number	:	765-521-2635

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	04/20/2015

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Directions to “ NANCY W GRIFFITH MD” Practice Location

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