Jason Ephraim Flesh, L.AC., MSTOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC255 Issued in ME

Practice address

55 Foden Rd
South Portland, ME 04106-1717

Phone

(207) 879-0442

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750436861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SALLY LN",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042603662",
            "telephone_number": "207-650-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FODEN RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061717",
            "telephone_number": "207-879-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESH",
        "first_name": "JASON",
        "middle_name": "EPHRAIM",
        "name_prefix": "Mr.",
        "credential": "L.AC., MSTOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Fitz, MD
• Deklin T Fitzgerald
• Rosemary Eileen Fitzpatrick, P.A.
• Nicholas Moses Flaherty, DMD
• Richard C Flaherty, MD
• Pamela M Florea, APRN CS
• Jesse Alexander Flynn, CADC
• Rachel Fogarty, D.C
• Raychel M Fogg
• Colleen M. Foley-Ingersoll, BCBA

• Acupuncturist in South Portland, ME
• Providers in South Portland, ME by specialty
• Acupuncturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.