PATRICK J FLYNN M.D. NPI 1619938222

NPI Information

NPI: 1619938222
Provider Name: PATRICK J FLYNN, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
6025 LAKE RD
STE 110
WOODBURY, MN
ZIP 55125
Phone: (651) 735-7414
Get Directions

Patrick J Flynn, M.D. is a hematology and oncology internal medicine in Woodbury, MN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Patrick J Flynn, M.D. NPI is 1619938222. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6025 LAKE RD
STE 110
WOODBURY, MN
ZIP 55125-709
Phone: (651) 735-7414
Fax: (651) 735-7414

The NPI 1619938222 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 4/26/2012.

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	207RH0003X	Internal Medicine	Hematology & Oncology	23037	MINNESOTA	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	Other Provider Identifier Issuer
1	0003690	OTHER	MINNESOTA	PREFERRED ONE
2	30613600	MEDICAID	WISCONSIN
3	23323	OTHER	MINNESOTA	AMERICA'S PPO
4	900000674	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	RAILROAD MEDICARE
5	3600777	OTHER	MINNESOTA	MEDICA
6	HP13298	OTHER	MINNESOTA	HEALTHPARTNERS
7	8T402FL	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD MN
8	900000082	MEDICARE PIN	MINNESOTA
9	1106312	OTHER	MINNESOTA	UCARE MN
10	A94048	MEDICARE UPIN	MINNESOTA
11	406272800	MEDICAID	MARYLAND
12	396085400	MEDICAID	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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