NPIMap

Individual provider Active NPI

Stephanie S Flynn, M.D.

  • Pediatrics Physician
  • Georgetown, OH
National Provider Identifier
1295931707
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35095459 Issued in OH
Practice address
631 East State Street
Georgetown, OH 45121-1437
Phone
(937) 378-6387
Fax
(937) 378-4253
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 18

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 participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161216000732 OH Practitioner - Pediatric Medicine 2365722980 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35095459OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current
since Oct 4, 2016		 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current
since Oct 4, 2016		 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients

Locations

2055 Hospital Dr
Ste 130
Batavia, OH 45103
Phone (513) 732-0700

4627 Aicholtz Rd
Cincinnati, OH 45244
Phone (513) 753-2820

105 Market St
Ste 100
Felicity, OH 45120
Phone (513) 429-7330

631 E State St
Georgetown, OH 45121
Phone (937) 378-6387

6535 Charles Snider Rd
Goshen, OH 45140
Phone (513) 575-1444

1108 Northview Dr
Ste 1
Hillsboro, OH 45133
Phone (937) 393-5781

1231 Columbus Ave
#1
Lebanon, OH 45036
Phone (513) 696-4495

424 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 707-4041

150 Health Partners Cir
Mount Orab, OH 45154
Phone (937) 444-2514

6131 Campus Ln
Mt Washington, OH 45230
Phone (513) 732-5088

100 River Valley Blvd
New Richmond, OH 45157
Phone (513) 553-3114

218 Stern Rd
Seaman, OH 45679
Phone (937) 378-3633

308 Highland Ave
Washington Court House, OH 43160
Phone (740) 335-2271

140 W Main St
Wilmington, OH 45177
Phone (937) 481-2930

Interoperability endpoints

  • Direct secure messaging: stephanie.flynnmd.p1@direct.hsohio.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35095459 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

631 East State Street
Georgetown, OH 45121-1437

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 576-7700

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3053289MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2026.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1295931707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-576-7700",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 EAST STATE STREET",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211437",
            "telephone_number": "937-378-6387",
            "fax_number": "937-378-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "STEPHANIE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35095459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, OH

Sources for this page

Verify at the official NPI Registry.