Gary Micheal Flaxenburg, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD 022773E Issued in PA

Practice address

385 W. Lancaster Avenue
Haverford Square Suite 207
Haverford, PA 19041

Phone

(610) 645-0282

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2010 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1407940323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MERBROOK LANE",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "19066",
            "telephone_number": "610-667-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 W. LANCASTER AVENUE",
            "address_2": "HAVERFORD SQUARE SUITE 207",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "19041",
            "telephone_number": "610-645-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAXENBURG",
        "first_name": "GARY",
        "middle_name": "MICHEAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 022773E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen L Fedder, M.D.
• Kristina S Ferrari, M.S.ED.
• Richard Ferry, MSW, LCSW
• Kaitlin Phelps Fiedler, PSY.D.
• Elizabeth Christy Fillman, COTA/L
• Michael P Fogel, MA, ATR-BC, LPC
• Lequitta Fontenot
• Marta Pepe Forney, M.P.T, A.T.C.
• Franklin Duane Medical Associates, LLC
• Ronnal Demeko Freeman, LPC, MT-BC

• Psychiatry Physician in Haverford, PA
• Providers in Haverford, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.