Kent V Flinchbaugh, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002310L Issued in PA

Practice address

2600 Willow Street Pike South
Willow Street, PA 17584-0216

Phone

(717) 464-2751

Fax

(717) 464-7261

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kent V. Flinchbaugh DPM LTD.

  • Podiatrist
  • Willow Street, PA
  • NPI 1780869644
  Medicare reassignment NPD Authorized official
• Black & Black Dental LLC

  • General Practice Dentistry
  • Willow Street, PA
  • NPI 1689771677
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1225057110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 216",
            "address_2": "2600 WILLOW STREET PIKE SOUTH",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175840216",
            "telephone_number": "717-464-2751",
            "fax_number": "717-464-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILLOW STREET PIKE SOUTH",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175840216",
            "telephone_number": "717-464-2751",
            "fax_number": "717-464-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINCHBAUGH",
        "first_name": "KENT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002310L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008059500004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emiliano Peralta Duran
• Dana Marie Elia, RDN, LDN
• Kamal A. Elliot, AU.D.
• Eric W. Howard DMD, PC
• Melanie Marie Falgout, M.D.
• Mary Florida, RN
• Stefanie Ruth Flynn
• Judith Ann Foster
• Richard P Frey, DO
• Lawrence M George, LSW

• Podiatrist in Willow Street, PA
• Providers in Willow Street, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.