Individual provider Active NPI

Anthony Guy Flarey, D.O.

  • Internal Medicine Physician
  • Cambridge, OH
National Provider Identifier
1366443590
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-007149 Issued in OH
Practice address
2146 Southgate Parkway Cambridge VA Clinic
Cambridge, OH 43725
Phone
(740) 432-1963
Fax
(740) 435-0713
NPI assigned
Aug 10, 2005
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-007149 OH Primary

Addresses

Primary practice location

2146 Southgate Parkway Cambridge VA Clinic
Cambridge, OH 43725

Mailing address

2146 Southgate Parkway Cambridge VA Clinic
Cambridge, OH 43725
Phone (740) 432-1963

Other identifiers 1

IdentifierTypeStateIssuer
2155877MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041202000798 OH Practitioner - Internal Medicine 0345206363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-007149OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lisa Knight Flarey, D.O., Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1366443590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 SOUTHGATE PARKWAY CAMBRIDGE VA CLINIC",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "43725",
            "telephone_number": "740-432-1963",
            "fax_number": "740-435-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 SOUTHGATE PARKWAY CAMBRIDGE VA CLINIC",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "43725",
            "telephone_number": "740-432-1963",
            "fax_number": "740-435-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAREY",
        "first_name": "ANTHONY",
        "middle_name": "GUY",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-007149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155877",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.