Active NPI
John Thomas Fleagle, MD
- Hematology & Oncology Physician
- Boulder, CO
National Provider Identifier
1346224433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 23933
- Practice address
- 4715 Arapahoe Ave
Boulder, CO 80303-1385 - Phone
- (303) 385-2000
- Fax
- (303) 444-1839
- NPI assigned
- Dec 1, 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 23933 | CO | Primary |
Addresses
Primary practice location
4715 Arapahoe Ave
Boulder, CO 80303-1385
Mailing address
7951 E Maplewood Ave
Ste 300
Greenwood Village, CO 80111-4723
Phone (303) 930-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41937261 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23933 | CO | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229472000000",
"number": "1346224433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 E MAPLEWOOD AVE",
"address_2": "STE 300",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114723",
"telephone_number": "303-930-7000",
"fax_number": "303-930-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031385",
"telephone_number": "303-385-2000",
"fax_number": "303-444-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEAGLE",
"first_name": "JOHN",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2008-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CO",
"license": "23933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41937261",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.