Active NPI
Charles M. Flinko, CRNA
- Certified Registered Nurse Anesthetist
- Alamogordo, NM
National Provider Identifier
1295734341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R12697
- Practice address
- 2301 Indian Wells Rd
Alamogordo, NM 88310-4611 - Phone
- (573) 686-5550
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0076448 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | R12697 | NM | Primary |
Addresses
Primary practice location
2301 Indian Wells Rd
Alamogordo, NM 88310-4611
Mailing address
209 S Main St
Poplar Bluff, MO 63901-5831
Phone (573) 686-5550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200004090A | Medicaid | OK | |
| 00093989 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Miguel Hospital Corporation | Past | Accepting new patients | |
| Caylor Nickel Clinic, PC | Past | Accepting new patients | |
| Mesa Az Endoscopy ASC LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Las Vegas, NM
- NPI 1598537862
-
- Multi-Specialty Clinic/Center
- Bluffton, IN
- NPI 1669424784
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1770557233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1295734341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S MAIN ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015831",
"telephone_number": "573-686-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 INDIAN WELLS RD",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104611",
"telephone_number": "573-686-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINKO",
"first_name": "CHARLES",
"middle_name": "M.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0076448",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "R12697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200004090A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00093989",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.