Flynn Family Care Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14215 Issued in OK

Legal business name

FLYNN FAMILY CARE CLINIC, INC.

Practice address

406 SE 11TH St
Anadarko, OK 73005-4442

Phone

(405) 247-2557

Fax

(405) 247-3245

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Wayne Flynn, M.D.

Title

President

Phone

(405) 247-2557

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871526046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SE 11TH ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054442",
            "telephone_number": "405-247-2557",
            "fax_number": "405-247-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SE 11TH ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054442",
            "telephone_number": "405-247-2557",
            "fax_number": "405-247-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYNN FAMILY CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-247-2557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1619937190",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Kreg Griffith P.C.
• Allison Jennie Dunshie, OTR
• Paula Dutton
• Summer Brooke Dutton
• Paula K. Ferguson, CPNP
• Mildred Gomez
• Gena Gorman, RN
• Ashlee Nicole Gutierrez, PHARMD
• Dylan Wyatt Hance, OD
• Donald F Haslam, MD

• Family Medicine Physician in Anadarko, OK
• Providers in Anadarko, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.