Active NPI
Michael F Flynn, M.D.
- Gastroenterology Physician
- Saint Louis, MO
National Provider Identifier
1205820776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R7B37
- Practice address
- 7345 Watson Rd
Saint Louis, MO 63119-4405 - Phone
- (314) 752-7100
- Fax
- (314) 752-3284
- NPI assigned
- Sep 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | R7B37 | MO | Primary |
Addresses
Primary practice location
7345 Watson Rd
Saint Louis, MO 63119-4405
Mailing address
7345 Watson Rd
Ste 102
Saint Louis, MO 63119-4405
Phone (314) 752-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156440061 | Other | MO | MEDICARE PTAN # |
| 202326716 | Medicaid | MO |
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 |
|---|---|---|---|
| R7B37 | MO | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1205820776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 WATSON RD",
"address_2": "STE 102",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194405",
"telephone_number": "314-752-7100",
"fax_number": "314-752-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194405",
"telephone_number": "314-752-7100",
"fax_number": "314-752-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "MICHAEL",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "R7B37",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN #",
"identifier": "156440061",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202326716",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.