Kenneth Paul Flanigan III, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD1033 Issued in ME

Practice address

68 Marginal Way
4TH Floor
Portland, ME 04101-2444

Phone

(207) 879-1339

Fax

(207) 879-1092

NPI assigned

Feb 22, 2006

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

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portland Foot and Ankle, PAGroup PAC ID 2264409366, 5 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Portland Foot & Ankle, PA

  • Foot & Ankle Surgery Podiatrist
  • Portland, ME
  • NPI 1417952318
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1780659722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 MARGINAL WAY",
            "address_2": "4TH FLOOR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012444",
            "telephone_number": "207-879-1339",
            "fax_number": "207-879-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MARGINAL WAY",
            "address_2": "4TH FLOOR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012444",
            "telephone_number": "207-879-1339",
            "fax_number": "207-879-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANIGAN",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "POD1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan L Fix, MD
• Carly G Flagg, CADC
• Michele L Flagg, LMSW-CONDITIONAL
• Lawrence Louis Flaherty, DMD
• Kelly Flanagan, M.A., CF-SLP
• Shane Michael Flattery
• Kerianne Mary Flavin, CRNA
• Flawless Residential Care LLC
• Olivia Opal Fleetwood, DNP, CRNA
• Abby Faye Fleisch, MD

• Foot & Ankle Surgery Podiatrist in Portland, ME
• Providers in Portland, ME by specialty
• Foot & Ankle Surgery Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.