Shane Patrick Flood, MB BCH BAO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MT207461 Issued in PA

Practice address

800 Spruce St
Pennsylvania Hospital, Department of Internal Medicine
Philadelphia, PA 19107-6130

Phone

(215) 829-3000

NPI assigned

Jun 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1366856379",
    "addresses": [
        {
            "country_code": "IE",
            "country_name": "Ireland",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "KILPATRICK",
            "address_2": "BUNBROSNA",
            "city": "MULLINGAR",
            "state": "WESTMEATH",
            "postal_code": "0000",
            "telephone_number": "267-992-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "address_2": "PENNSYLVANIA HOSPITAL, DEPARTMENT OF INTERNAL MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "SHANE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MB BCH BAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT207461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Flipse, M.D.
• Neal Flomenberg, M.D.
• Phyllis R. Flomenberg, M.D.
• Jeremy J Flood, MD
• Jonelle Joy Flood, LSW
• Tracy Flood
• Elizabeth Ann Flook, MD PHD
• Eleni M Florakis
• Floreat Counseling & Wellness
• Margaret Florek

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.