Active NPI
Patrick J Flynn, M.D.
- Hematology & Oncology Physician
- Woodbury, MN
National Provider Identifier
1619938222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 23037
- Practice address
- 6025 Lake Rd
Ste 110
Woodbury, MN 55125-1709 - Phone
- (651) 735-7414
- Fax
- (651) 735-7414
- NPI assigned
- Mar 31, 2006
- Last updated
- Apr 26, 2012
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 23037 | MN | Primary |
Addresses
Primary practice location
6025 Lake Rd
Ste 110
Woodbury, MN 55125-1709
Mailing address
6025 Lake Rd
Ste 110
Woodbury, MN 55125-1709
Phone (651) 735-7414
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30613600 | Medicaid | WI | |
| 8T402FL | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 3600777 | Other | MN | MEDICA |
| 396085400 | Medicaid | MN | |
| 0003690 | Other | MN | PREFERRED ONE |
| 1106312 | Other | MN | UCARE MN |
| 23323 | Other | MN | AMERICA'S PPO |
| HP13298 | Other | MN | HEALTHPARTNERS |
| 406272800 | Medicaid | MD |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Oncology Hematology, PA | Hematology & Oncology | Past | Accepting new patients |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Hematology & Oncology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
-
- Radiation Oncology Physician
- Saint Paul, MN
- NPI 1598305427
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1619938222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 LAKE RD",
"address_2": "STE 110",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251709",
"telephone_number": "651-735-7414",
"fax_number": "651-735-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 LAKE RD",
"address_2": "STE 110",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251709",
"telephone_number": "651-735-7414",
"fax_number": "651-735-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "PATRICK",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MN",
"license": "23037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30613600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "8T402FL",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "3600777",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "396085400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "0003690",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MN",
"identifier": "1106312",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "23323",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP13298",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406272800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.