Active NPI
Mitchell J Flaxman, M.D.
- Gastroenterology Physician
- Jupiter, FL
National Provider Identifier
1104908797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0046424
- Practice address
- 1002 S Old Dixie Hwy
Suite 201
Jupiter, FL 33458-7202 - Phone
- (561) 744-2200
- Fax
- (561) 744-3083
- NPI assigned
- Oct 20, 2006
- Last updated
- Oct 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0046424 | FL | Primary |
Addresses
Primary practice location
1002 S Old Dixie Hwy
Suite 201
Jupiter, FL 33458-7202
Mailing address
5431 N University Dr
Coral Springs, FL 33067-4639
Phone (954) 344-2522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0046424 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrocare LLP | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1104908797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5431 N UNIVERSITY DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674639",
"telephone_number": "954-344-2522",
"fax_number": "954-344-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 S OLD DIXIE HWY",
"address_2": "SUITE 201",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587202",
"telephone_number": "561-744-2200",
"fax_number": "561-744-3083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAXMAN",
"first_name": "MITCHELL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0046424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.