MR. GAVIN LEE FLENTGE (NPI# 1063039311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063039311 |
| Entity Type | Individual |
| Full Name | MR. GAVIN LEE FLENTGE |
| Credential | AGACNP-BC |
| Practice Address |
5658 Hwy E Perryville MO 63775-8405 |
| Mailing Address |
Po Box 270 Perryville MO 63775-0270 |
| Practice Telephone | 5737682509 |
| Mailing Telephone | 5737682509 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2020019956 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5658 HWY E |
| City | PERRYVILLE |
| State | MO |
| Zip Code | 63775-8405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293118 | Flentge Healthcare P.C. | Clinic/Center | 5658 Hwy E, Perryville, MO 63775-8405 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1902461908 | Health Care Pharmacy of Perryville, LLC | Pharmacy | 628 N Old St Marys Rd, Perryville, MO 63775 | 2019-05-06 |
| 1710437603 | Danielle Renee Hoeckele | Chiropractor | 1516 Edgemont Blvd Ste 100, Perryville, MO 63775 | 2016-10-04 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1669801353 | Derek Adelman | Physical Therapy Assistant | 206 Hospital Lane, Ste 100, Perryville, MO 63775 | 2013-11-04 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1013171115 | Air Evac Ems Inc. | Ambulance | 4801 N Highway 51, Perryville, MO 63775 | 2008-07-17 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| Find all providers in zip 63775 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414020 | Scarlett Long | Nurse Practitioner | 590 Nw 1751st Rd, Kingsville, MO 64061-9169 | 2020-10-12 |
| 1841897394 | Lara Kang | Nurse Practitioner | 7354 S Yorkshire Dr, Saint Louis, MO 63123-2111 | 2020-10-07 |
| 1124634373 | Taylor Eckhoff | Nurse Practitioner | 2733 Gillham Rd Apt 1n, Kansas City, MO 64108-3136 | 2020-09-22 |
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1134755911 | Corey Allen Blassie | Nurse Practitioner | 122 Heron Ct, Saint Peters, MO 63376-5038 | 2020-03-12 |
| 1851926638 | Deborah J Thomson-diaz | Nurse Practitioner | 15357 Lovers Ln, Excelsior Springs, MO 64024-8517 | 2020-03-11 |
| 1104459833 | Zakiya S Clemoens | Nurse Practitioner | 629 W 101st Ter, Kansas City, MO 64114-4236 | 2020-02-21 |
| 1265064703 | Kelsey Elizabeth Ortmann | Nurse Practitioner | 4962 Tyrolean Ave, Saint Louis, MO 63109-3760 | 2020-02-11 |
| 1730725987 | Chelsea Amack | Nurse Practitioner | 9011 N Byfield Ave, Kansas City, MO 64154-1838 | 2019-11-22 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
| City | PERRYVILLE |
| Zip Code | 63775 |
Please comment or provide details below to improve the information on MR. GAVIN LEE FLENTGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.