Individual provider Active NPI

John Vincent Flannery Jr., M.D.

  • Colon & Rectal Surgery Physician
  • Nashua, NH
National Provider Identifier
1316996614
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
15918 Issued in NH
Practice address
8 Prospect St
North II
Nashua, NH 03060-3925
Phone
(603) 577-3322
Fax
(603) 577-3376
NPI assigned
May 6, 2006
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 15918 NH Primary

Addresses

Primary practice location

8 Prospect St
North II
Nashua, NH 03060-3925

Mailing address

8 Prospect St., North II
8 Colon and Rectal Surgery of New England
Nashua, NH 03060-2949
Phone (603) 577-3322

Other identifiers 1

IdentifierTypeStateIssuer
680149936AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000139 NH Practitioner - Colorectal Surgery (Proctology) 8820009137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Massachusetts Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

8 Prospect St
Nashua, NH 03060-3925
Phone (603) 577-2045

8 Prospect St N
Nashua, NH 03060-3925

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc CurrentSince Nov 1, 2012 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Nov 1, 2012 Accepting new patients
Northside Surgical Professional Services LLC PastSince Aug 15, 2015 Accepting new patients

Locations

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

Interoperability endpoints

  • Direct secure messaging: jflannery91916@direct.solutionhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1316996614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST., NORTH II",
            "address_2": "8 COLON AND RECTAL SURGERY OF NEW ENGLAND",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602949",
            "telephone_number": "603-577-3322",
            "fax_number": "603-577-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "address_2": "NORTH II",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603925",
            "telephone_number": "603-577-3322",
            "fax_number": "603-577-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NH",
            "license": "15918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680149936A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.