Linval Keith Fleetwood, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

LF034519 Issued in MI

Practice address

1415 Broadway Blvd
Flint, MI 48506-3530

Phone

(810) 239-7684

Fax

(810) 239-4921

NPI assigned

Aug 25, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1235122185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BROADWAY BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485063530",
            "telephone_number": "810-239-7684",
            "fax_number": "810-239-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BROADWAY BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485063530",
            "telephone_number": "810-239-7684",
            "fax_number": "810-239-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEETWOOD",
        "first_name": "LINVAL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "LF034519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433953810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melvin J. Flamenbaum, D.M.D.
• Keziah Flanagan
• Cherish Lee Flater
• Flatrock Manor of Flint
• Flatrock Manor of Flint Township
• Clinten Fleming
• Vinika Faye Fleming
• Kristin Nicole Fletcher
• Bailey Elizabeth Flewelling, M.A., BCBA, LBA
• Mershell Anntanet Flinnon, LLMSW

• Family Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.