Patrick Michael Flynn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3623-012 Issued in WI

Practice address

2525 W Mason St
Green Bay, WI 54303-4838

Phone

(920) 429-2844

Fax

(920) 429-2845

NPI assigned

Jul 11, 2006

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Wellness Way Green Bay LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1003837170
  Medicare reassignment NPD Authorized official
• Appleton Wellness Way LLC

  • Chiropractor
  • Kimberly, WI
  • NPI 1376908061
  NPD (past) Authorized official
• The Wellness Way Appleton

  • Preferred Provider Organization
  • Appleton, WI
  • NPI 1003151366
  NPD (past) Authorized official
• Waukesha Wellness Way LLC

  • Chiropractor
  • Waukesha, WI
  • NPI 1396107736
  NPD (past) Authorized official
• North Phoenix Wellness Way LLC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1174304521
  NPD (past) Authorized official
• The Wellness Way Cottage Grove LLC

  • Chiropractor
  • Cottage Grove, MN
  • NPI 1710337167
  NPD (past) Authorized official
• The Wellness Way North Phoenix LLC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1023628476
  Authorized official Same address or phone
• Wellness Way Bismarck LLC

  • Chiropractor
  • Bismarck, ND
  • NPI 1518667179
  NPD (past) Authorized official
• Wellness Way Eden Prairie LLC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1336650043
  NPD (past) Authorized official
• Wellness Way Grand Rapids LLC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1013504026
  NPD (past) Authorized official
• Wellness Way Grass Valley LLC

  • Chiropractor
  • Nevada City, CA
  • NPI 1740936442
  Authorized official Same address or phone
• Wellness Way Jacksonville LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1568095594
  Authorized official Same address or phone

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1366477341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034838",
            "telephone_number": "920-429-2844",
            "fax_number": "920-429-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034838",
            "telephone_number": "920-429-2844",
            "fax_number": "920-429-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007993",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3623-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38940200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "392039747012",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jameson Florack, M.D.
• Thomas Michael Florack, MD
• Eddiberto Flores, MSW, APSW
• Karla Flores
• Flourish ABA LLC
• Tracy Fochs, BCBA
• Kay Ann Fogeltanz, DC
• Joanne Folcik
• Brian Foley
• Erica Widas Folker

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.