Individual provider Active NPI

Sakhshat William Flowers III, M.D.

  • Family Medicine Physician
  • Maplewood, NJ
National Provider Identifier
1225064769
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA03619900 Issued in NJ
Practice address
2 Plymouth PL
Maplewood, NJ 07040-2322
Phone
(973) 378-8322
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA03619900 NJ Primary

Addresses

Primary practice location

2 Plymouth PL
Maplewood, NJ 07040-2322

Mailing address

2 Plymouth PL
Maplewood, NJ 07040-2322
Phone (973) 378-8322

Other identifiers 1

IdentifierTypeStateIssuer
25MA03619900OtherNJNEW JERSEY STATE LICENSE

Other names 1

  • Dr. William Knox Flowers III Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 10, 2017 through Jul 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03619900NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1225064769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PLYMOUTH PL",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402322",
            "telephone_number": "973-378-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PLYMOUTH PL",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402322",
            "telephone_number": "973-378-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "SAKHSHAT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03619900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE LICENSE",
            "identifier": "25MA03619900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "FLOWERS",
            "middle_name": "KNOX",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.