Individual provider Active NPI

Joseph T Flynn Jr., MD

  • Pediatric Nephrology Physician
  • Seattle, WA
National Provider Identifier
1164508438
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
47970 Issued in WA
Practice address
4800 Sand Point Way NE
M/S a-7931
Seattle, WA 98105-3901
Phone
(206) 987-2524
NPI assigned
Oct 30, 2006
Last updated
Feb 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 47970 WA Primary

Addresses

Primary practice location

4800 Sand Point Way NE
M/S a-7931
Seattle, WA 98105-3901

Mailing address

926 Federal Ave E
Seattle, WA 98102-4531
Phone (206) 987-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070711000180 WA Practitioner - NephrologyPractitioner - Pediatric Medicine 7517067234 Reassigns benefits to 2 organizations
I20090814000645 MT Practitioner - Pediatric MedicinePractitioner - Other (Physician) 7517067234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Pediatric Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Childrens HospitalGroup PAC ID 9032021050, 113 clinicians

Practice addresses (Care Compare)

1780 NW Myhre Rd
Suite 2120
Silverdale, WA 98383-8676
Phone (360) 782-3100

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 526-2000

8232 W Grandridge Blvd
Kennewick, WA 99336-1680
Phone (509) 582-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47970WAMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital Current Accepting new patients
Seattle Childrens Hospital CurrentSince Jul 1, 2014 Accepting new patients
The Association of Chrmc and University Physicians CurrentSince Jul 1, 2007 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jan 16, 2015 Accepting new patients
Seattle Children's Hospital CurrentSince Jul 1, 2014 Accepting new patients
Great Falls Clinic LLC Current Accepting new patients
Association of CHMC and University Physicians Pediatric Nephrology CurrentSince Jul 1, 2007 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jan 16, 2015 Accepting new patients
Children's Hospital & Regional Medical Center 2 Past Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2831 Fort Missoula Rd
Ste 102
Missoula, MT 59804
Phone (406) 327-3819

2835 Fort Missoula Rd
Ste 201
Missoula, MT 59804
Phone (406) 327-4730

2835 Fort Missoula Rd
Ste 301
Missoula, MT 59804
Phone (406) 327-4279

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

969 Stevens Dr
Ste 1B
Richland, WA 99352
Phone (509) 946-0688

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

4800 Sand Point Way NE
#A7931
Seattle, WA 98105
Phone (206) 987-2524

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jflynn5266@direct.seattlechildrens.org

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1164508438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 FEDERAL AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024531",
            "telephone_number": "206-987-2524",
            "fax_number": "206-987-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "M/S A-7931",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "WA",
            "license": "47970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.