Active NPI
Flynn and Petrosky PSC
- Family Medicine Physician
- Somerset, KY
National Provider Identifier
1871643650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65933749 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Somerset, KY
- NPI 1700889144
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.