Active NPI
Kenneth Eugene Fligsten, M.D.
- Psychiatry Physician
- Severna Park, MD
National Provider Identifier
1427134808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0004698
- Practice address
- 507 West Dr
Severna Park, MD 21146-2623 - Phone
- (410) 647-4403
- NPI assigned
- Oct 28, 2006
- Last updated
- Jan 23, 2013
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0004698 | MD | Primary |
Addresses
Primary practice location
507 West Dr
Severna Park, MD 21146-2623
Mailing address
507 West Dr
Severna Park, MD 21146-2623
Phone (410) 647-4403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121121800 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1427134808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 WEST DR",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462623",
"telephone_number": "410-647-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 WEST DR",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462623",
"telephone_number": "410-647-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLIGSTEN",
"first_name": "KENNETH",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0004698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121121800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
- First Call Medical Center LLC
- Cheryl Yvonne Fisher, MS NCC LGPC
- Mark Louis Fisher, PH.D.
- Five Star Severna Park LLC (Heartlands at Severna Park)
- Elwood Lee Fletcher Jr.
- Forever Fit Physical Therapy & Wellness LLC
- Carol D. Forsyth, C.R.N.P.
- Richard D Fortune
- Amelia Foster, LCSW-C
- Hannah Elizabeth Fox
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.