Christie Flanagan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

018876 Issued in NY

Practice address

700 S Perry St
Johnstown Health Center
Johnstown, NY 12095-3213

Phone

(518) 762-3161

Fax

(518) 762-4902

NPI assigned

Aug 6, 2015

Last updated

Aug 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1730565219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S PERRY ST",
            "address_2": "JOHNSTOWN HEALTH CENTER",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953213",
            "telephone_number": "518-762-3161",
            "fax_number": "518-762-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PERRY ST",
            "address_2": "JOHNSTOWN HEALTH CENTER",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953213",
            "telephone_number": "518-762-3161",
            "fax_number": "518-762-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "CHRISTIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fccnysarc
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• Physician Assistant in Johnstown, NY
• Providers in Johnstown, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.