Individual provider Active NPI

Paul Flahavan, CO, CPED

  • Orthotist
  • Madison, WI
National Provider Identifier
1194266676
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
1334 Applegate Rd
Madison, WI 53713-3184
Phone
(608) 255-3500
NPI assigned
Mar 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X Primary
Pedorthist 224L00000X

Addresses

Primary practice location

1334 Applegate Rd
Madison, WI 53713-3184

Mailing address

1334 Applegate Rd
Madison, WI 53713-3184
Phone (608) 255-3500

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NPS Foot Health, LLC Orthotist CurrentSince Dec 22, 2019 Accepting new patients
National Pedorthic Services, Inc. Past Accepting new patients

Locations

1334 Applegate Rd
Ste 200
Madison, WI 53713
Phone (605) 255-3500

1334 Applegate Rd
Madison, WI 53713
Phone 6082211500 ext. 33

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1194266676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 APPLEGATE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133184",
            "telephone_number": "608-255-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 APPLEGATE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133184",
            "telephone_number": "608-255-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHAVAN",
        "first_name": "PAUL",
        "credential": "CO, CPED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.