MARY A. FLYNN M.D. NPI 1336142587

NPI Information

NPI: 1336142587
Provider Name: MARY A. FLYNN, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1606 N 7TH ST
TERRE HAUTE, IN
ZIP 47804
Phone: (812) 244-0100
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Mary A. Flynn, M.D. is a specialist in Terre Haute, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Mary A. Flynn, M.D. NPI is 1336142587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1606 N 7TH ST
TERRE HAUTE, IN
ZIP 47804-706
Phone: (812) 244-0100
Fax: (812) 232-1517

The enumeration date for this NPI number is 5/23/2005 and was last updated on 12/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		01056361A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	858090L	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
2	C02209	MEDICARE UPIN	INDIANA
3	200373110	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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