TIMOTHY CORCORAN FLYNN (NPI# 1154302610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154302610 |
| Entity Type | Individual |
| Full Name | TIMOTHY CORCORAN FLYNN |
| Credential | M.D. |
| Practice Address |
200 Wellesley Trade Ln Cary NC 27519-5576 |
| Practice Telephone | 9193637546 |
| Practice Fax Number | 9193633616 |
| Mailing Telephone | 9193637546 |
| Mailing Fax Number | 9193633616 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 29569 | NC | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
29569 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 0357057 | 01 | |
| AETNA HMO | 2549406 | 01 | |
| MEDCOST | A6811 | 01 | |
| NC | CIGNA HEALTHCARE | 562070218F | 01 |
| NC | DOCTORS HEALTH PLAN | 22635 | 01 |
| NC | 89128G2 | 05 | |
| NC | BCBS | 128G2 | 01 |
| MAMSI/ALLIANCE | 290914 | 01 | |
| AETNA PPO | 4230459 | 01 | |
| NC | CIGNA HEALTHCARE HMO | 3108348002 | 01 |
| PARTNERS | 42294 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Regional Cir Ste B&c, Pinehurst, NC 283749863 | 9102951761 | 9102952937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113886 | Timothy Flynn | Speech-Language Pathologist | 3313 Wyndham Cir Apt 2207, Alexandria, VA 22302-4320 | 2018-08-14 |
| 1326285032 | Timothy J Flynn | Dentist | Calle El Buen Samaritano D-17, Juan Domingo, Guaynabo, PR 00966 | 2009-01-16 |
| 1386893154 | Timothy Michael Patrick Flynn | Nurse Practitioner | 1400 Congress Ave, Suite E1.214, Austin, TX 78701-1932 | 2008-09-16 |
| 1437233038 | Timothy Gerard Flynn | Chiropractor | 1042 W James St, Suite 101, Kent, WA 98032-4606 | 2006-10-24 |
| 1588752976 | Timothy William Flynn | Physical Therapist | 210 W Magnolia St, Suite 110, Fort Collins, CO 80521-2915 | 2006-10-11 |
| 1588757405 | Timothy J. Flynn | Counselor | 1415 East Green Bay St., Ste 191 Synergy Counseling Services, Sc, Shawano, WI 54166-3881 | 2006-10-02 |
| 1205850765 | Timothy J Flynn | Internal Medicine | 3059 Edgewood Ave W, Jacksonville, FL 32209-2207 | 2006-07-27 |
| 1174566038 | Timothy M Flynn | Family Medicine | 5665 N Junction Way, Davis Junction, IL 61020 | 2006-06-14 |
| 1285626614 | Timothy R. Flynn | Internal Medicine | 1790 Mulkey Rd Ste 5a, Austell, GA 30106-1122 | 2005-08-22 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Street Address |
200 WELLESLEY TRADE LN |
| City | CARY |
| State | NC |
| Zip Code | 27519-5576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600789 | Robert Earl Clark | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2005-06-27 |
| 1104278803 | Wendy Leigh Jaget | Nurse Practitioner | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2016-07-06 |
| 1427370352 | Adam Ingraffea | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2010-02-19 |
| 1245564129 | Amanda Hullett | Physician Assistant | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2009-09-25 |
| 1265699649 | Steve Addison Watson | Physician Assistant | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2008-05-22 |
| 1619035946 | Paul Stephen Toth | Physician Assistant | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2006-12-06 |
| 1356424501 | Dan Ecclestone | Physician Assistant | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2006-10-23 |
| 1902869530 | Cary Skin Center, Pa | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478918 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 150 Wellesley Trade Ln, Cary, NC 27519 | 2020-08-18 |
| 1548878549 | Clara Dermatology | Dermatology | 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 | 2020-07-16 |
| 1366084188 | Monarch | Community/Behavioral Health | 740 Magalloway Drive, Cary, NC 27519 | 2019-10-14 |
| 1568023190 | Bay Imaging Consultants Medical Group Inc | Radiology | 1226 Brickfield Dr., Cary, NC 27519 | 2019-06-25 |
| 1861974131 | Tasha Ann Cadet | Marriage & Family Therapist | 235 Michigan Ave, Cary, NC 27519 | 2018-09-04 |
| 1295217628 | Stacey Janette Wilson | Marriage & Family Therapist | 235 Michigan Avenue, Cary, NC 27519 | 2018-09-01 |
| 1275029720 | Melissa Holt | Nurse Practitioner | 212 Towne Village Drive, Cary, NC 27519 | 2018-07-09 |
| 1912432162 | Margaret Creed Thompson | Behavioral Analyst | 210 Tals Rock Way, Suite 3, Cary, NC 27519 | 2017-04-25 |
| 1154799088 | Ashley Hudson | Nurse Practitioner | 7129 O'kelly Chapel Rd, Cary West, Cary, NC 27519 | 2015-09-09 |
| 1639557200 | Aseem Kaul | General Practice | 101 Maynard Crossing Court, Chapel Hill, NC 27519 | 2015-05-14 |
| Find all providers in zip 27519 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902869530 | Cary Skin Center, Pa | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942713052 | Vieta Dermatology, Pllc | Dermatology | 289 Olmsted Blvd Ste 5, Pinehurst, NC 28374-8730 | 2017-11-10 |
| 1245751403 | Bluewater Dermatology and Skin Cancer Center Pa | Dermatology | 814 Spivey Rd, Whiteville, NC 28472-8736 | 2017-06-28 |
| 1831330893 | Landon Everett Stigall | Dermatology | 6752 Rock Spring Rd Ste 201, Wilmington, NC 28405 | 2009-03-20 |
| 1780772541 | Jenny L. Stone | Dermatology | 203 Mocksville Ave Ste B, Salisbury, NC 28144-3360 | 2006-10-10 |
| 1528035722 | Marc Ronald Carruth | Dermatology | 2615 E 7th St, Charlotte, NC 28204-4376 | 2006-03-07 |
| 1215902663 | Frederick Walter Gourdin | Dermatology | 78 Long Shoals Rd, Arden, NC 28704-7782 | 2006-02-21 |
| 1508846403 | Rajat Varma | Dermatology | 410 Market St Ste 400, Unc Dept of Dermatology, Chapel Hill, NC 27516-4061 | 2006-01-18 |
| 1437130523 | Greg Edwin Viehman | Dermatology | 710 Military Cutoff Rd, Suite 200, Wilmington, NC 28405-2375 | 2005-11-07 |
| 1598759482 | Eastern Dermatology, P.a. | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2005-09-07 |
| 1285636076 | Charles S Johnson | Dermatology | 315 19th St Se, Hickory, NC 28602-4230 | 2005-08-11 |
| Find all providers with the same taxonomy | ||||
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| 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.