1538146923 NPI number — DR. PATRICK C FLAMION MD

Table of content: DR. PATRICK C FLAMION MD (NPI 1538146923)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538146923 NPI number — DR. PATRICK C FLAMION MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLAMION
Provider First Name:
PATRICK
Provider Middle Name:
C
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538146923
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
801 SAINT MARYS DR
Provider Second Line Business Mailing Address:
SUITE 110-E
Provider Business Mailing Address City Name:
EVANSVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47714-0511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-485-1895
Provider Business Mailing Address Fax Number:
812-485-1844

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
801 SAINT MARYS DR
Provider Second Line Business Practice Location Address:
SUITE 110-E
Provider Business Practice Location Address City Name:
EVANSVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47714-0511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-485-1895
Provider Business Practice Location Address Fax Number:
812-485-1844
Provider Enumeration Date:
12/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  01027520A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000245619 . This is a "BCBS" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 020370900 . This is a "BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100247470 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 043679294004 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 079343 . This is a "HEALTH ALLIANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 43679294002 . This is a "UNICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 080192439 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 04367929413 . This is a "DONLEY & CO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 630691 . This is a "HEALTHLINK" identifier . This identifiers is of the category "OTHER".




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