Active NPI
Kevin M. Flanigan, MD
- Surgery Physician
- Liberty Hill, TX
National Provider Identifier
1306960455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0058320
- Practice address
- 300 Hilltop Dr.
Liberty Hill, TX 78642 - Phone
- (480) 677-9421
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0058320 | MD | Primary |
Addresses
Primary practice location
300 Hilltop Dr.
Liberty Hill, TX 78642
Mailing address
Pob 727
Liberty Hill, TX 78642
Phone (480) 677-9421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 818198 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0058320 | MD | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1306960455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POB 727",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "78642",
"telephone_number": "480-677-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HILLTOP DR.",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "78642",
"telephone_number": "480-677-9421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANIGAN",
"first_name": "KEVIN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0058320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "818198",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liberty Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.