Theodore Douglas Flaiz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD08491 Issued in OR

Practice address

600 NW 11TH St
Suite E-15
Hermiston, OR 97838-8602

Phone

(541) 567-6434

Fax

(541) 567-6019

NPI assigned

Oct 19, 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

Other identifiers 1

Other names 1

• Dr. T D Flaiz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1841372059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST",
            "address_2": "STE E15",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388602",
            "telephone_number": "541-567-6434",
            "fax_number": "541-567-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST",
            "address_2": "SUITE E-15",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388602",
            "telephone_number": "541-567-6434",
            "fax_number": "541-567-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAIZ",
        "first_name": "THEODORE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD08491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234401",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T",
            "last_name": "FLAIZ",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard David Finn, QMHA
• Deo Flaiz Fisher, M.D.
• Aaron Nelson Fitzcharles I, PHARMD
• Claudia Renee Flaiz, RNFA
• Richard Allan Flaiz, MD FACS
• Jana Flatau
• Joseph Fleck
• Delwin Gary Flint, O.D.
• Isabella Flores-Merritt, MD
• Cynthia Flores

• Family Medicine Physician in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.