Flexogenix North Carolina, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

FLEXOGENIX NORTH CAROLINA, PC

Practice address

1414 Yanceyville St
200
Greensboro, NC 27405-6962

Phone

(336) 895-1598

Fax

(336) 390-2170

NPI assigned

Mar 31, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean P Whalen, MD

Title

President

Phone

(213) 622-6010

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Flexogenix North Carolina PC

  • Diagnostic Radiology Physician
  • Cary, NC
  • NPI 1306202296

  O20150915001750

  Same enrollment
• Flexogenix North Carolina PC

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1366826299

  O20150915001750

  Same enrollment

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Eugene Bonaventure, P.A-C

  • Medical Physician Assistant
  • Fuquay Varina, NC
  • NPI 1104182195
  NPD
• Stephanie Cernuto, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1710531231
  NPD
• Thomas Michael Howard, MD

  • Family Medicine Physician
  • Cary, NC
  • NPI 1437144714
  NPD
• Amit Paul Jangam, DO

  • Family Medicine Physician
  • Cary, NC
  • NPI 1447749288
  NPD
• John J Rush, MD

  • Emergency Medicine Physician
  • Spring, TX
  • NPI 1851337281
  NPD
• Cristina E. Solis, MD

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1497827216
  NPD (past)

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1235592874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S HOPE ST STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154057",
            "telephone_number": "213-622-6010",
            "fax_number": "213-622-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 YANCEYVILLE ST",
            "address_2": "200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056962",
            "telephone_number": "336-895-1598",
            "fax_number": "336-390-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXOGENIX NORTH CAROLINA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-622-6010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conner Fleming, PA-C
• Janah E Fletcher, EDD, LAT, ATC
• Shanaiya Lajanah Fletcher, CF
• Kyle J Fletke, MD
• Victoria Fleury
• Bailey Hancock Flippin, MS
• Ericka A Flipping, PA-C
• Floodgate Home Care Services, LLC
• Ramsey Leigh Florer
• Bethany Marie Flores, DPT

• Diagnostic Radiology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.