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DAVID J FLANDERS M.D. NPI 1396783510


NPI Information

NPI: 1396783510
Provider Name: DAVID J FLANDERS, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1320 W BIRD BLVD
PEORIA, IL
ZIP 61615
Phone: (309) 360-0189
Get Directions

David J Flanders, M.D. is an anatomic pathology and clinical pathology pathology in Peoria, IL. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. David J Flanders, M.D. NPI is 1396783510. 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:

1320 W BIRD BLVD
PEORIA, IL
ZIP 61615-406
Phone: (309) 360-0189

The enumeration date for this NPI number is 6/2/2006 and was last updated on 7/13/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology036068713ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1L35535MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2C40241MEDICARE UPINILLINOIS
3L63639MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4P04608MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
5220011118OTHERILLINOISRAILROAD MEDICARE
6L35525MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
70360687131MEDICAIDILLINOIS

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

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