Active NPI
Stephanie Ann Flesher, MD
- Diagnostic Radiology Physician
- Fairchild Afb, WA
National Provider Identifier
1629034889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00035703
- Practice address
- 701 Hospital Loop
Suite 132
Fairchild Afb, WA 99011-8704 - Phone
- (509) 247-2617
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00035703 | WA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | G72939 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | M-8043 | ID |
Addresses
Primary practice location
701 Hospital Loop
Suite 132
Fairchild Afb, WA 99011-8704
Mailing address
701 Hospital Loop
Suite 132
Fairchild Afb, WA 99011-8704
Phone (509) 247-2617
Other names 1
- Dr. Stephanie Ann Flesher
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G72939 | CA | MD | Diagnostic Radiology Physician |
| M-8043 | ID | MD | Diagnostic Radiology Physician |
| MD00035703 | WA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1629034889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 HOSPITAL LOOP",
"address_2": "SUITE 132",
"city": "FAIRCHILD AFB",
"state": "WA",
"postal_code": "990118704",
"telephone_number": "509-247-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 HOSPITAL LOOP",
"address_2": "SUITE 132",
"city": "FAIRCHILD AFB",
"state": "WA",
"postal_code": "990118704",
"telephone_number": "509-247-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLESHER",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00035703",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G72939",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M-8043",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "FLESHER",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairchild Afb, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.