Individual provider Active NPI

Jennifer Lynn Flo, DPM

  • Podiatrist
  • Youngstown, OH
National Provider Identifier
1689695306
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003779 Issued in OH
Practice address
3507 Canfield Rd Ste 7
Youngstown, OH 44511
Phone
(330) 793-0566
Fax
(330) 793-5767
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003779 OH Primary

Addresses

Primary practice location

3507 Canfield Rd Ste 7
Youngstown, OH 44511

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161

Other practice location 1

1615 Maple Ln Ste 1
Essentia Health Ashland Clinic
Ashland, WI 54806-3610
Phone (815) 685-7500

Other practice location 2

20800 Westgate Mall Ste 401
Fairview Park, OH 44126
Phone (440) 333-7722

Other practice location 3

20800 Westgate Mall Ste 401
Fairview Park, OH 44126
Phone (440) 333-7722

Other identifiers 1

IdentifierTypeStateIssuer
43243000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000773 MN Practitioner - Podiatry 6103823299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LTC Professionals PLLCGroup PAC ID 7911181029, 6 clinicians

Practice addresses (Care Compare)

7801 E Bush Lake Rd
Suite 400
Minneapolis, MN 55439-3113
Phone (952) 283-3161

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue6455
Removal or shaving of skin growth703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003779OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
LTC Professionals, PLLC Podiatrist CurrentSince Sep 1, 2022 Accepting new patients
Aggeus Healthcare, P.C. Podiatrist Past Accepting new patients
Preferred Podiatry Group PC Podiatrist Past Accepting new patients
Mobile Medical, Inc. Podiatrist Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

7801 E Bush Lake Rd
Ste 400
Minneapolis, MN 55439
Phone (952) 283-3162

3131 France Ave N
Robbinsdale, MN 55422
Phone (763) 588-0771

Organizations & group practices 5

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1689695306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 CANFIELD RD STE 7",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44511",
            "telephone_number": "330-793-0566",
            "fax_number": "330-793-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Maple Ln Ste 1",
            "address_2": "Essentia Health Ashland Clinic",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548063610",
            "country_code": "US",
            "telephone_number": "815-685-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20800 Westgate Mall Ste 401",
            "address_purpose": "LOCATION",
            "city": "Fairview Park",
            "state": "OH",
            "postal_code": "44126",
            "country_code": "US",
            "telephone_number": "440-333-7722",
            "fax_number": "440-356-0310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20800 Westgate Mall Ste 401",
            "address_purpose": "LOCATION",
            "city": "Fairview Park",
            "state": "OH",
            "postal_code": "44126",
            "country_code": "US",
            "telephone_number": "440-333-7722",
            "fax_number": "440-356-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43243000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.