Organization Active NPI

Flannagan Plastic Surgery P.C.

  • Plastic Surgery Physician
  • Jasper, IN
National Provider Identifier
1073713194
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
FLANNAGAN PLASTIC SURGERY P.C.
Practice address
2005 Saint Charles St
Suite 4
Jasper, IN 47546-9146
Phone
(812) 634-6600
Fax
(812) 634-6621
NPI assigned
Jul 18, 2007
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Dr. Ryan Flannagan, MCNPI 1992916290
Title
Owner
Phone
(812) 634-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X IN Primary

Addresses

Primary practice location

2005 Saint Charles St
Suite 4
Jasper, IN 47546-9146

Mailing address

2005 Saint Charles St Ste 4
Jasper, IN 47546-2271
Phone (812) 634-6600

Other practice location 1

3777 Venetian Way
Newburgh, IN 47630-8278
Phone (812) 477-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822000022 IN Part B Supplier - Clinic/Group Practice 6507958600 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Jasper, IN; Newburgh, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2005 Saint Charles St
Ste 4
Jasper, IN 47546
Phone (812) 634-6600

3777 Venetian Way
Newburgh, IN 47630
Phone (812) 477-6600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1073713194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST STE 4",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462271",
            "telephone_number": "812-634-6600",
            "fax_number": "812-634-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST",
            "address_2": "SUITE 4",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469146",
            "telephone_number": "812-634-6600",
            "fax_number": "812-634-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3777 Venetian Way",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308278",
            "country_code": "US",
            "telephone_number": "812-477-6600",
            "fax_number": "812-477-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLANNAGAN PLASTIC SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "FLANNAGAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-634-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.