Organization Active NPI

Flynn and Petrosky PSC

  • Family Medicine Physician
  • Somerset, KY
National Provider Identifier
1871643650
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLYNN AND PETROSKY PSC
Practice address
340 Bogle St
Suite 104
Somerset, KY 42503-2892
Phone
(606) 677-9250
NPI assigned
Jan 12, 2007
Last updated
May 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. Susan J Petrosky, M.D.
Title
Physician
Phone
(606) 677-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

340 Bogle St
Suite 104
Somerset, KY 42503-2892

Mailing address

340 Bogle St
Suite 104
Somerset, KY 42503-2892
Phone (606) 677-9250

Other identifiers 1

IdentifierTypeStateIssuer
65933749MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1871643650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BOGLE ST",
            "address_2": "SUITE 104",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032892",
            "telephone_number": "606-677-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BOGLE ST",
            "address_2": "SUITE 104",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032892",
            "telephone_number": "606-677-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYNN AND PETROSKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "PETROSKY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-677-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933749",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.