Organization Active NPI

Gene R Flick MD

  • Psychiatry Physician
  • Evansville, IN
National Provider Identifier
1588653299
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GENE R FLICK MD
Practice address
5200 Washington Ave Ste E
Evansville, IN 47715-4863
Phone
(812) 469-2040
Fax
(812) 469-2042
NPI assigned
Oct 14, 2005
Last updated
Jul 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gene R Flick, MDNPI 1881681658
Title
President
Phone
(812) 469-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

5200 Washington Ave Ste E
Evansville, IN 47715-4863

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other identifiers 2

IdentifierTypeStateIssuer
64873250MedicaidKY
300007347MedicaidIN

National Provider Directory

National Provider Directory

Locations

5200 Washington Ave
Ste E
Evansville, IN 47715
Phone (812) 469-2040

801 Saint Marys Dr
Ste 301
Evansville, IN 47714
Phone (812) 469-2040

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531526400000",
    "number": "1588653299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE STE E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154863",
            "telephone_number": "812-469-2040",
            "fax_number": "812-469-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE R FLICK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2018-07-14",
        "status": "A",
        "authorized_official_last_name": "FLICK",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-469-2040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64873250",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007347",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.