William Jordan Flake, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R4682 Issued in AZ

Practice address

655 N Alvernon Way Ste 228
Tucson, AZ 85711-1853

Phone

(520) 724-7770

Fax

(520) 694-1640

NPI assigned

May 21, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1629860085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N ALVERNON WAY STE 228",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111853",
            "fax_number": "520-694-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N ALVERNON WAY STE 228",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111853",
            "telephone_number": "520-724-7770",
            "fax_number": "520-694-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAKE",
        "first_name": "WILLIAM",
        "middle_name": "JORDAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R4682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Five Star Tucson Forum LLC
• Gerard Flacke, MD
• Lila Flagler, N.M.D.
• Samuel Flagler, N.M.D.
• Elizabeth Flaherty
• Kristie L Flamm, N.P.
• Kevin Edward Flanagan, PHD
• Mikaela Flanagan, ND
• Ann Elaine Flannagan
• Ali Flath

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.