Gregory Lynn Flint, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M3500 Issued in ID

Practice address

868 E Riverside Dr
Suite 200
Eagle, ID 83616-6019

Phone

(208) 367-2864

Fax

(208) 323-0310

NPI assigned

Sep 26, 2006

Last updated

Jul 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gregory L. Flint M.D., P.C.

  • Clinic/Center
  • Eagle, ID
  • NPI 1336327923
  Authorized official Same address or phone
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  NPD (past)
• J. Robert West, M.D., Inc

  dba West Dermatology Pathology Laboratory

  • Dermatopathology Physician
  • Irvine, CA
  • NPI 1295917904
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1699866822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 E RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166019",
            "telephone_number": "208-367-2864",
            "fax_number": "208-323-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 E RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166019",
            "telephone_number": "208-367-2864",
            "fax_number": "208-323-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "GREGORY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "35006",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD OF ID",
            "identifier": "000010004115",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002486300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070002801",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis Ellsworth Finch III, OD
• Katelyn Finch
• Finding Home Healthcare, Inc. (Finding Home Medical Services)
• Trina Christeen Fisher-Szeles, LCSW
• David Alan Fleckenstein, MPT
• Florence Hospital, LLC (Florence Community Healthcare)
• Iris Stephany Flores, M.S.
• Courtney Nicole Flynn, NP
• Fmi Center of Optimal Health
• Lynette Fogg

• Dermatology Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Dermatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.