1740385723 NPI number — MR. MICHAEL R FLANDRO OD

Table of content: MR. MICHAEL R FLANDRO OD (NPI 1740385723)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740385723 NPI number — MR. MICHAEL R FLANDRO OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLANDRO
Provider First Name:
MICHAEL
Provider Middle Name:
R
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
OD
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:
1740385723
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
360 SOUTH ARTHUR AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POCATELLO
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-232-6675
Provider Business Mailing Address Fax Number:
208-232-5800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
360 SOUTH ARTHUR AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POCATELLO
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-232-6675
Provider Business Practice Location Address Fax Number:
208-232-5800
Provider Enumeration Date:
09/14/2006

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: 152W00000X , with the licence number:  ODP702 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 002622900 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0969700001 . This is a "DMERC" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: 000010015363 . This is a "REGENCE BLUE SHIELD OF ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 410039268 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: V2811 . This is a "BLUE CROSS OF IDAHO" identifier . This identifiers is of the category "OTHER".




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