Freeda J. Flynn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-066409 Issued in OH

Legal business name

FREEDA J. FLYNN, M.D.

Practice address

67609 Warnock St Clairsville Rd
Box 706
Saint Clairsville, OH 43950-9129

Phone

(740) 695-5190

Fax

(740) 695-5191

NPI assigned

May 17, 2012

Last updated

May 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda L. Powell

Title

Billing Clerk

Phone

(740) 695-5190

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1821358417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67609 WARNOCK ST CLAIRSVILLE RD",
            "address_2": "BOX 706",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509129",
            "telephone_number": "740-695-5190",
            "fax_number": "740-695-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67609 WARNOCK ST CLAIRSVILLE RD",
            "address_2": "BOX 706",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509129",
            "telephone_number": "740-695-5190",
            "fax_number": "740-695-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDA J. FLYNN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "740-695-5190"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-066409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137971",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.