Active NPI
Dennis Flynn, MD
- Family Medicine Physician
- Dublin, OH
National Provider Identifier
1568467397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-048544
- Practice address
- 6760 Avery Muirfield Dr
Ste a
Dublin, OH 43017-1232 - Phone
- (614) 791-9952
- Fax
- (614) 791-9953
- NPI assigned
- Jun 17, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-048544 | OH | Primary |
Addresses
Primary practice location
6760 Avery Muirfield Dr
Ste a
Dublin, OH 43017-1232
Mailing address
PO Box 550
Lancaster, OH 43130-0550
Phone (740) 687-5164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0584149 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-048544 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| John Balko and Associates Inc | Family Medicine | Past | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042
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.
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1932105996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1568467397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431300550",
"telephone_number": "740-687-5164",
"fax_number": "740-654-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6760 AVERY MUIRFIELD DR",
"address_2": "STE A",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171232",
"telephone_number": "614-791-9952",
"fax_number": "614-791-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-048544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0584149",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.