Active NPI
Craig G Flinders, M.D.
- Interventional Pain Medicine Physician
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- M-6560
- Practice address
- 2841 Juniper Dr
Lewiston, ID 83501-4719 - Phone
- (208) 743-9712
- Fax
- (208) 298-0212
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | M-6560 | ID | Primary |
Addresses
Primary practice location
2841 Juniper Dr
Lewiston, ID 83501-4719
Mailing address
2841 Juniper Dr
Lewiston, ID 83501-4719
Phone (208) 743-9712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-6560 | ID | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Cornerstone Anesthesia PA | Past | Accepting new patients |
Locations
2841 Juniper Dr
#2
Lewiston, ID 83501
Phone (208) 848-9001
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
1119 Highland Ave
Ste 11
Clarkston, WA 99403
Phone (509) 758-4450
1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312
Interoperability endpoints
- craig.flinders@tsmh.medicity.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1760485221
-
- Community Based Hospice Care Agency
- Clarkston, WA
- NPI 1831100254
-
dba Tri State Medical Clinics
- Family Medicine Physician
- Clarkston, WA
- NPI 1932405693
-
- Pain Medicine (Anesthesiology) Physician
- Lewiston, ID
- NPI 1366622300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760403893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 JUNIPER DR",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014719",
"telephone_number": "208-743-9712",
"fax_number": "208-298-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 JUNIPER DR",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014719",
"telephone_number": "208-743-9712",
"fax_number": "208-298-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINDERS",
"first_name": "CRAIG",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "ID",
"license": "M-6560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.