Kent V. Flinchbaugh DPM LTD.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002310L Issued in PA

Legal business name

KENT V. FLINCHBAUGH DPM LTD.

Practice address

2600 Willow Street Pike S
Willow Street, PA 17584-9377

Phone

(717) 464-2751

Fax

(717) 464-7261

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kent V. Flinchbaugh, DPMNPI 1225057110

Title

President

Phone

(717) 464-2751

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kent V Flinchbaugh, DPM

  • Podiatrist
  • Willow Street, PA
  • NPI 1225057110
  Medicare reassignment NPD Authorized official
• John C Black III, DDS

  • General Practice Dentistry
  • Willow Street, PA
  • NPI 1477650455
  NPD (past)
• Connor William Black, DMD

  • General Practice Dentistry
  • Willow Street, PA
  • NPI 1083503759
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1780869644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175840216",
            "telephone_number": "717-464-2751",
            "fax_number": "717-464-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILLOW STREET PIKE S",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849377",
            "telephone_number": "717-464-2751",
            "fax_number": "717-464-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT V. FLINCHBAUGH DPM LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "FLINCHBAUGH",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-464-2751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002310L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devan Hower, CRNP
• Kelly Huffman, PHARMD
• Jennifer Lynn Irons, CRNP
• Alisia Ives, LPC
• Rushita Javia
• Ann M King, M.D.
• Charles J King, D.D.S.
• Philip Muigai Kirumba
• Laura J Kline, O.T.
• Jennifer Nicole Knight, DPT

• Podiatrist in Willow Street, PA
• Providers in Willow Street, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.