Colleen Ann Flaherty, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS005554L Issued in PA

Practice address

4 Snake Road
Bucknell University Ziegler Student Health Center
Lewisburg, PA 17837

Phone

(570) 577-1401

Fax

(570) 577-3570

NPI assigned

Jan 14, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1023294600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SNAKE ROAD",
            "address_2": "BUCKNELL UNIVERSITY ZIEGLER HEALTH CENTER",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "17837",
            "telephone_number": "570-577-1401",
            "fax_number": "570-577-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SNAKE ROAD",
            "address_2": "BUCKNELL UNIVERSITY ZIEGLER STUDENT HEALTH CENTER",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "17837",
            "telephone_number": "570-577-1401",
            "fax_number": "570-577-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "COLLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005554L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Fiedler, PA-C
• Richard Paul Findlay, PH. D.
• Heidi Fisher, PH.D.
• Jeffrey Fisk, MD
• William F Flack Jr., PHD
• William Karle Flatley, D.O.
• Scott Flick
• Allen D Flock, MSW
• Amanda Flynn
• Carrie B Fogel, DPT

• Family Medicine Physician in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.