Jackson Flanigan MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35061527 Issued in OH

Legal business name

JACKSON FLANIGAN MD LLC

Practice address

1432 Clark St Ste B
Cambridge, OH 43725-9611

Phone

(740) 435-2896

NPI assigned

Mar 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jackson Flanigan, M.D.

Title

Owner/Physician

Phone

(740) 435-2896

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Sivaram Kollengode, M.D.

  • Family Medicine Physician
  • Cambridge, OH
  • NPI 1154373561
  NPD (past)

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1861790974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 CLARK ST STE B",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259611",
            "telephone_number": "740-435-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 CLARK ST STE B",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259611",
            "telephone_number": "740-435-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FLANIGAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "FLANIGAN",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "740-435-2896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35061527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0824620",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Abdallah Ibrahim, DDS
• Michelle Lynn Igleheart, MS, RD, LD
• Pamela J Ingram
• Interim Healthcare Hospice of Ohio Inc (Interim HealthCare Hospice of Cambridge)
• Savannah Ivey
• Michelle Madelynne Jackson
• Patricia L Jackson, HHA
• Julianne Grace James, PA-C
• Lisa M James
• Halina Jandura-Cessna, MD

• Specialist in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.