Paul Dolph Flaggman

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A-1184-02 Issued in NM

Practice address

811 Vista Canada LN
Santa Fe, NM 87501-8714

Phone

(505) 992-8357

NPI assigned

Oct 14, 2008

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

Other names 1

• Dr. Paul Dolph Flaggman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1578715272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 VISTA CANADA LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875018714",
            "telephone_number": "505-992-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 VISTA CANADA LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875018714",
            "telephone_number": "505-992-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAGGMAN",
        "first_name": "PAUL",
        "middle_name": "DOLPH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "A-1184-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "FLAGGMAN",
            "middle_name": "DOLPH",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Niki Lynn Fitzcallaghan, RNCS,LPCC
• Carol J Fitzpatrick, PHD
• Rebecca Fitzpatrick, MD
• Julia Ingrid Fjeldsted, M.A. CCC-SLP
• Joshua Paul Fladger
• Teresa Ann Flanagan, LPCC
• Chelsea Fleischman, DC
• Althea P Fleming
• Maurice Fleming, LMHC
• Christopher Richard Fletcher, M.D.

• Neurology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Neurology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.

Verify at the official NPI Registry.