Active NPI
Henry Flautt Jr MD PA
Doing business as Henry Flautt Jr MD
- Internal Medicine Physician
- Greenwood, MS
National Provider Identifier
1578980298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13172
- Legal business name
- HENRY FLAUTT JR MD PA
- Doing business as
- Henry Flautt Jr MD
- Practice address
- 408 W Market St
Greenwood, MS 38930-4232 - Phone
- (662) 453-0722
- Fax
- (662) 453-5284
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Henry Flautt Jr., MD
- Title
- President
- Phone
- (662) 453-0722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13172 | MS | Primary |
Addresses
Primary practice location
408 W Market St
Greenwood, MS 38930-4232
Mailing address
408 W Market St
Greenwood, MS 38930-4232
Phone (662) 453-0722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0113766 | Medicaid | MS |
Other names 1
- Henry Flautt Jr MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Greenwood, MS
- NPI 1760553655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395187200000",
"number": "1578980298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 W MARKET ST",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304232",
"telephone_number": "662-453-0722",
"fax_number": "662-453-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 W MARKET ST",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304232",
"telephone_number": "662-453-0722",
"fax_number": "662-453-5284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY FLAUTT JR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A",
"authorized_official_last_name": "FLAUTT",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-453-0722",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MS",
"license": "13172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0113766",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Flautt Jr MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.