DR. PATRICK MICHAEL FLYNN (NPI# 1366477341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366477341 |
| Entity Type | Individual |
| Full Name | DR. PATRICK MICHAEL FLYNN |
| Credential | D.C. |
| Practice Address |
2638 Tulip Lane Suite B Green Bay WI 54313 |
| Practice Telephone | 9204292844 |
| Practice Fax Number | 9204292845 |
| Mailing Telephone | 9204292844 |
| Mailing Fax Number | 9204292845 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2301007993 | MI | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 3623-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38940200 | 05 | |
| WI | BLUE CROSS BLUE SHIELD # | 392039747012 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790914984 | Patrick Thomas Flynn | Physician Assistant | 222 High Street, Casc #205, Newton, NJ 07860 | 2009-07-08 |
| 1588891675 | Patrick J Flynn | Case Manager/Care Coordinator | 3159 Morningside Dr, Columbus, OH 43202-1220 | 2009-06-16 |
| 1518055243 | Patrick Joseph Flynn | Internal Medicine | 340 Front St, Suite 102 Hofmann Professional Bldg, Elmer, NJ 08318 | 2006-10-10 |
| 1225569080 | Patrick Flynn | Registered Nurse | 300 Werner St, Hot Springs, AR 71913-6406 | 2017-03-23 |
| 1043334725 | Patrick James Flynn | Dentist | 6161 Orchard Lake Rd, Suite 101, West Bloomfield, MI 48322-2384 | 2007-03-19 |
| 1184798431 | Patrick J Flynn | Surgery | 210 Jones Rd, Suite 25, Falmouth, MA 02540 | 2006-11-20 |
| 1235226317 | Patrick A Flynn | Pediatrics | 525 E 68th St # F-467, New York, NY 10021-4870 | 2006-10-09 |
| 1912910381 | Patrick Michael Flynn | Social Worker | 6058 S Chestnut St, Suite 100, Platteville, WI 53818-8947 | 2006-08-15 |
| 1437109980 | Patrick Flynn | Physical Therapist | 3200 S Water St, Pittsburgh, PA 15203-2307 | 2006-05-12 |
| 1225090061 | Patrick W Flynn | Nurse Anesthetist, Certified Registered | 1705 N Government Way, Coeur D Alene, ID 83814-3444 | 2006-04-05 |
| Street Address |
2638 TULIP LANE SUITE B |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003837170 | The Wellness Way Green Bay LLC | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1376067413 | Tyler Allen Malueg | Chiropractor | 2069 Central Ct Ste 11, Green Bay, WI 54311-4281 | 2017-07-31 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1982082277 | Matthew Hallam | Chiropractor | 1541 Bellevue St Ste 5, Green Bay, WI 54311-6266 | 2015-05-07 |
| 1861893018 | Leah Hetebrueg | Chiropractor | 2066 Central Dr, Unit D, Green Bay, WI 54311-4244 | 2014-09-08 |
| 1518368836 | Jesse Anderson | Chiropractor | 982 N Taylor St, Green Bay, WI 54303-1202 | 2014-09-05 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1083980981 | Healthy Living Chiropractic Clinic Inc. | Chiropractor | 858 Hansen Rd, Green Bay, WI 54304-5324 | 2012-03-26 |
| 1730409111 | Cornerstone Chiropractic Sc | Chiropractor | 2763 S Oneida St, Green Bay, WI 54304-5750 | 2010-06-08 |
| 1689906240 | Hazuka Spinal Center Inc | Chiropractor | 1742 E Mason St, Green Bay, WI 54302-3259 | 2010-02-08 |
| Find all providers in GREEN BAY | ||||
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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.