Active NPI
Casey Flanary, M.D.
- Otolaryngology Physician
- Menomonee Falls, WI
National Provider Identifier
1467431254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 29433
- Practice address
- W129N7055 Northfield Dr
Otolaryngology
Menomonee Falls, WI 53051-0538 - Phone
- (262) 253-5400
- Fax
- (262) 253-3700
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 29433 | WI | Primary |
Addresses
Primary practice location
W129N7055 Northfield Dr
Otolaryngology
Menomonee Falls, WI 53051-0538
Mailing address
W129N7055 Northfield Dr
Otolaryngology
Menomonee Falls, WI 53051-0538
Phone (262) 253-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467431254 | Medicaid | WI | |
| 31821800 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29433 | WI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1467431254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W129N7055 NORTHFIELD DR",
"address_2": "OTOLARYNGOLOGY",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530510538",
"telephone_number": "262-253-5400",
"fax_number": "262-253-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W129N7055 NORTHFIELD DR",
"address_2": "OTOLARYNGOLOGY",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530510538",
"telephone_number": "262-253-5400",
"fax_number": "262-253-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANARY",
"first_name": "CASEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WI",
"license": "29433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467431254",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31821800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.