Active NPI
David P Flavin, MD
- Gastroenterology Physician
- Somersworth, NH
National Provider Identifier
1194722454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 011068
- Practice address
- 21 Clark Way
Somersworth, NH 03843 - Phone
- (603) 692-2228
- Fax
- (603) 692-0437
- NPI assigned
- Jul 1, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 011068 | ME | Primary |
| Gastroenterology Physician | 207RG0100X | 5353 | NH |
Addresses
Primary practice location
21 Clark Way
Somersworth, NH 03843
Mailing address
21 Clark Way
Somersworth, NH 03878
Phone (603) 692-2228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82103267 | Medicaid | NH |
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 |
|---|---|---|---|
| 011068 | ME | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1194722454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CLARK WAY",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "03878",
"telephone_number": "603-692-2228",
"fax_number": "603-692-0437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CLARK WAY",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "03843",
"telephone_number": "603-692-2228",
"fax_number": "603-692-0437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAVIN",
"first_name": "DAVID",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ME",
"license": "011068",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NH",
"license": "5353",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82103267",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.