Active NPI
Gregory Thomas Flynn, M.D.
- Pain Medicine (Anesthesiology) Physician
- Saint Petersburg, FL
National Provider Identifier
1376595652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME37627
- Practice address
- 1948 Carolina Ave NE
Saint Petersburg, FL 33703-3410 - Phone
- (813) 465-9686
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME37627 | FL | Primary |
Addresses
Primary practice location
1948 Carolina Ave NE
Saint Petersburg, FL 33703-3410
Mailing address
1948 Carolina Ave NE
Saint Petersburg, FL 33703-3410
Phone (813) 465-9686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabriele Jasper MD Inc | Current | Accepting new patients | |
| Jasper Ambulatory Surgical Center LLC | Current | Accepting new patients |
Locations
74 Brick Blvd
Ste 124
Brick, NJ 08723
Phone (732) 262-0700
74 Brick Blvd
Ste 121
Brick, NJ 08723
Phone (732) 262-0700
74 Brick Blvd
Bldg 3
Brick, NJ 08723
Phone (732) 262-0700
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 and National Provider Directory roles.
-
- Pain Clinic/Center
- Brick, NJ
- NPI 1053500041
-
- Ambulatory Surgical Clinic/Center
- Brick, NJ
- NPI 1194950915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1376595652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1948 CAROLINA AVE NE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337033410",
"telephone_number": "813-465-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 CAROLINA AVE NE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337033410",
"telephone_number": "813-465-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "GREGORY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME37627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.