Mary Jo Flint, M.D.
Individual provider Active NPI Pediatrics Physician · Fort Scott, KS
NPI 1669475018 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1669475018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 04-25097 (KS)
- Practice address
- 2322 S Main St
Fort Scott, KS 66701-3026 - Phone
- (888) 777-9170
- NPI assigned
- May 31, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240904001786 | KS | Practitioner - Pediatric Medicine | 1355881475 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-25097 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Southeast Kansas Inc | Current | Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Current |
Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc. | Current |
Accepting new patients | |
| Christian Family Medicine, LLC | Past |
Accepting new patients | |
| Independent Radiology Associates PLC | Past |
Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc | Past | Accepting new patients | |
| Pediatric Professional Association | Past | Accepting new patients |
Locations
601 E Washington St
Arma, KS 66712
Phone (620) 347-4033
100 N Military Ave
Baxter Springs, KS 66713
801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300
1110 W 8th St
Coffeyville, KS 67337
Phone (620) 252-1798
124 S Highschool Ave
Columbus, KS 66725
101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101
2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-0135
312 S Maple St
Garnett, KS 66032
Phone (785) 448-6988
3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260
2051 N State St
Iola, KS 66749
Phone (620) 380-6400
203 N Kentucky St
Iola, KS 66749
1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575
302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203
2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159
1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160
1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896
924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788
3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960
11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110
Interoperability endpoints
- mary.flint@chcsek.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-25097 | KS | Yes |
Addresses
Primary practice location
2322 S Main St
Fort Scott, KS 66701-3026
Mailing address
PO Box 1832
Pittsburg, KS 66762-1832
Phone (888) 777-9170
Other names
- Dr. Mary Jo Koppenhaver
Other providers in Fort Scott, KS
- Jennifer Opitz Dunshee
- Eye Center of Fort Scott
- Eye Center of Fort Scott
- Rory Dirk Eyring
- Kelly K Ferguson
- Tanner Dean Forrest
- Fort Scott Chiropractic LLC
- Fort Scott Family Medicine
- Fort Scott Family Medicine, P.a.
- Fort Scott Usd 234
All providers in Fort Scott, KS · Pediatrics Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.