Active NPI
Michael J Flanigan, MD
- Nephrology Physician
- Minocqua, WI
National Provider Identifier
1326036278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 20139
- Practice address
- 9601 Townline Rd
Minocqua, WI 54548-9099 - Phone
- (715) 358-1000
- NPI assigned
- Oct 13, 2005
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 20139 | WI | Primary |
Addresses
Primary practice location
9601 Townline Rd
Minocqua, WI 54548-9099
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34242100 | Medicaid | WI |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1326036278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 TOWNLINE RD",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "545489099",
"telephone_number": "715-358-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANIGAN",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "20139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34242100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minocqua, WI
- John Bolinger Ester, MD
- Excelrehab & Spine Center, Inc.
- Family Health Center of Marshfield Inc (Family Health Center - Minocqua Alcohol & Drug Recovery Center)
- Kenneth D Fasbender, CSAC, SCIT
- Kara Fieck, RPH
- Mary A Forester, DO
- Richard F Fossen, MD
- Christine Marie Friedrich, LPN
- Thomas C Gabert, MD
- David L Gearhart, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.