Active NPI
Grace Ellen Flood, M.D.
- Family Medicine Physician
- Madison, WI
National Provider Identifier
1407398688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42538
- Practice address
- 749 University Row
MC: 9925
Madison, WI 53705-1465 - Phone
- (608) 209-7832
- NPI assigned
- Nov 5, 2016
- Last updated
- Nov 5, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42538 | WI | Primary |
Addresses
Primary practice location
749 University Row
MC: 9925
Madison, WI 53705-1465
Mailing address
3245 Harmony St
Sun Prairie, WI 53590-7035
Phone (608) 318-0594
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42538 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478304000000",
"number": "1407398688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HARMONY ST",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535907035",
"telephone_number": "608-318-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 UNIVERSITY ROW",
"address_2": "MC: 9925",
"city": "MADISON",
"state": "WI",
"postal_code": "537051465",
"telephone_number": "608-209-7832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOOD",
"first_name": "GRACE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-05",
"last_updated": "2016-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "42538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.