Individual provider Active NPI

Julie S Flagg III

  • Obstetrics & Gynecology Physician
  • Middletown, CT
National Provider Identifier
1760435879
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
025189 Issued in CT
Practice address
49 Crescent St
Middletown, CT 06457-3601
Phone
(860) 344-9993
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 025189 CT Primary

Addresses

Primary practice location

49 Crescent St
Middletown, CT 06457-3601

Mailing address

49 Crescent St
Third Floor
Middletown, CT 06457-3601
Phone (860) 344-9993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025189CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc Current Accepting new patients
MHS Primary Care Inc CurrentSince Dec 2, 2022 Accepting new patients
MHS Primary Care Inc. Obstetrics & Gynecology CurrentSince Dec 2, 2022 Accepting new patients

Locations

214 Church St
Guilford, CT 06437
Phone (203) 453-5854

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

49 Crescent St
Fl Third
Middletown, CT 06457

49 Crescent St
Middletown, CT 06457
Phone (860) 344-9993

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

Organizations & group practices 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1760435879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CRESCENT ST",
            "address_2": "THIRD FLOOR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573601",
            "telephone_number": "860-344-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573601",
            "telephone_number": "860-344-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAGG",
        "first_name": "JULIE",
        "middle_name": "S",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "025189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.