Individual provider Active NPI

Flint C Hales, MD

  • Family Medicine Physician
  • Queen Creek, AZ
National Provider Identifier
1285910133
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47348 Issued in AZ
Practice address
20713 E Ocotillo Rd
Ste #100
Queen Creek, AZ 85142-6117
Phone
(480) 882-9993
Fax
(480) 248-2377
NPI assigned
Oct 24, 2011
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 3838-850 WI
Student in an Organized Health Care Education/Training Program 390200000X 57426-20 WI
Family Medicine Physician 207Q00000X 47348 AZ Primary

Addresses

Primary practice location

20713 E Ocotillo Rd
Ste #100
Queen Creek, AZ 85142-6117

Mailing address

20713 E Ocotillo Rd
Ste #100
Queen Creek, AZ 85142-6117
Phone (480) 882-9993

Other identifiers 1

IdentifierTypeStateIssuer
3838-850OtherWITEP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.28 of 100Reported as group
Quality
83.84
Promoting interoperability
100
Improvement activities
40
Cost
73.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47348AZMDFamily Medicine Physician
3838-850WIMDStudent in an Organized Health Care Education/Training Program
57426-20WIMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1285910133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20713 E OCOTILLO RD",
            "address_2": "STE #100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426117",
            "telephone_number": "480-882-9993",
            "fax_number": "480-248-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20713 E OCOTILLO RD",
            "address_2": "STE #100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426117",
            "telephone_number": "480-882-9993",
            "fax_number": "480-248-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALES",
        "first_name": "FLINT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "3838-850",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "57426-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "47348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEP",
            "identifier": "3838-850",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.