JOHN WALTER FLYNN (NPI# 1487286860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487286860 |
| Entity Type | Individual |
| Full Name | JOHN WALTER FLYNN |
| Practice Address |
1825 Marika Rd Fairbanks AK 99709-5521 |
| Practice Telephone | 9074740890 |
| Mailing Telephone | 9074740890 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MH3237 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497156939 | John Flynn | Social Worker | 403 Sackett St, Brooklyn, NY 11231-4703 | 2014-09-15 |
| 1013335272 | John Flynn | Registered Nurse | 18 Kings Mill Cir Unit 113, Madison, WI 53718-3403 | 2014-04-03 |
| 1427484203 | John Flynn | Pharmacist | 337 Nagle Ct, Harrisburg, PA 17112-9313 | 2013-09-24 |
| 1700107182 | John Jospeh Flynn | Dentist | 633 Chapel Ridge Dr, Pittsboro, NC 27312-9539 | 2010-06-19 |
| 1891895546 | John H Flynn | Dentist | 4607 Connecticut Ave Nw, Washington, DC 20008-5741 | 2006-09-23 |
| 1376571554 | John T Flynn | Chiropractor | 77 W Dearborn St, Englewood, FL 34223-3234 | 2006-06-28 |
| 1144263955 | John Andrew Flynn | Internal Medicine | 5841 S Maryland Ave # Mc1000, Chicago, IL 60637-1443 | 2006-06-13 |
| 1619937190 | John Wayne Flynn | Family Medicine | 406 Se 11th St, Anadarko, OK 73005-4442 | 2006-03-27 |
| 1508831868 | John Joseph Flynn | Chiropractor | 13220 Strickland Rd, 184, Raleigh, NC 27613-5213 | 2006-02-21 |
| 1750743910 | John Flynn | Otolaryngology | 3901 Rainbow Blvd, Otolaryngology- Ms 3010, Kansas City, KS 66160-8500 | 2016-03-25 |
| Street Address |
1825 MARIKA RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225099765 | Richard Calvin Brown Jr. | Psychiatry & Neurology | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2006-03-31 |
| 1073130720 | Andrew Anthony Lara | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-29 |
| 1336765114 | Kevin Johnson Jr. | Behavior Technician | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-17 |
| 1346865565 | Joshua Vazquez Gonzalez | Behavior Technician | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-12 |
| 1194354639 | Mark Dinelt | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-04-06 |
| 1962033282 | Family Centered Services of Alaska | Clinic/Center | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-27 |
| 1881224301 | Jheri Rea Bock | Behavioral Analyst | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-23 |
| 1922638527 | Tracy Mcdonald-ofeldt | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-22 |
| 1528602869 | Noah Harris | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2019-10-30 |
| 1861034373 | Whitney Mclaren | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2019-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922665132 | Yelena Petkova | Case Manager/Care Coordinator | 270 Fairhill Rd, Fairbanks, AK 99712-1614 | 2019-05-22 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1528624699 | Christy Ann Herman | Case Manager/Care Coordinator | 661 Fordham Dr, Fairbanks, AK 99709-6763 | 2019-05-14 |
| 1144795055 | Debbie A Clarke | Case Manager/Care Coordinator | 1173 Sunset Dr, Fairbanks, AK 99709-4745 | 2018-10-06 |
| 1679938096 | Rachel Pleasants | Case Manager/Care Coordinator | 1422 Hampstead Ave, Fairbanks, AK 99701-2729 | 2015-12-30 |
| 1790039824 | Tracy Marie Rodden-larson | Case Manager/Care Coordinator | 60 Hall St, Fairbanks, AK 99701-4828 | 2012-10-26 |
| 1700163565 | Anita M Rodriguez | Case Manager/Care Coordinator | 3407 Airport Way, Fairbanks, AK 99709-4761 | 2011-11-08 |
| 1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
| 1093030025 | Robin Jane Boggs | Case Manager/Care Coordinator | 3875 Geist Rd Ste E312, Fairbanks, AK 99709-3549 | 2010-04-01 |
| 1659601771 | Georgia Reynolds | Case Manager/Care Coordinator | 526 Gaffney Rd, Suite 100, Fairbanks, AK 99701-4914 | 2010-01-12 |
| Find all providers in FAIRBANKS | ||||
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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.