Active NPI
Denis Trescot Flynn, PA-C
- Physician Assistant
- Bridgeport, CT
National Provider Identifier
1609028083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002179
- Practice address
- 226 Mill Hill Ave
3Rd Floor
Bridgeport, CT 06610-2826 - Phone
- (203) 384-3394
- Fax
- (203) 384-3829
- NPI assigned
- Oct 16, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002179 | CT | Primary |
Addresses
Primary practice location
226 Mill Hill Ave
3Rd Floor
Bridgeport, CT 06610-2826
Mailing address
PO Box 415126
Mill Hill Medical Consultants, Inc.
Boston, MA 02241-0001
Phone (203) 384-3394
Other names 1
- Scot Flynn
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002179 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Physician Assistant | 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": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1609028083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415126",
"address_2": "MILL HILL MEDICAL CONSULTANTS, INC.",
"city": "BOSTON",
"state": "MA",
"postal_code": "022410001",
"telephone_number": "203-384-3394",
"fax_number": "203-384-3829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 MILL HILL AVE",
"address_2": "3RD FLOOR",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102826",
"telephone_number": "203-384-3394",
"fax_number": "203-384-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "DENIS",
"middle_name": "TRESCOT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "002179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SCOT",
"last_name": "FLYNN",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.