PATRICK J FLYNN (NPI# 1619938222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619938222 |
| Entity Type | Individual |
| Full Name | PATRICK J FLYNN |
| Credential | M.D. |
| Practice Address |
6025 Lake Rd Ste 110 Woodbury MN 55125-1709 |
| Practice Telephone | 6517357414 |
| Practice Fax Number | 6517357414 |
| Mailing Telephone | 6517357414 |
| Mailing Fax Number | 6517357414 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2012-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
23037 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 406272800 | 05 | |
| MN | 396085400 | 05 | |
| WI | 30613600 | 05 | |
| MN | MEDICA | 3600777 | 01 |
| MN | AMERICA'S PPO | 23323 | 01 |
| MN | PREFERRED ONE | 0003690 | 01 |
| MN | UCARE MN | 1106312 | 01 |
| MN | BLUE CROSS BLUE SHIELD MN | 8T402FL | 01 |
| MN | HEALTHPARTNERS | HP13298 | 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 |
| 1366477341 | Patrick Michael Flynn | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2006-07-11 |
| 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 |
| Street Address |
6025 LAKE RD STE 110 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439523 | Aaron Jeremy Milbank | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2005-10-03 |
| 1891015384 | Mikhail Regelman | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2010-06-07 |
| 1922233287 | Jodi Sharon Michaels | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2009-05-15 |
| 1003058546 | Samuel Branch Kieley | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2009-03-30 |
| 1649447368 | Michael Joseph Ehlert | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2008-05-12 |
| 1629241062 | Anthony John Polcari | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2008-04-07 |
| 1831367168 | Metropolitan Urologic Specialists Pa | Urology | 6025 Lake Rd, Suite 100, Woodbury, MN 55125 | 2008-02-20 |
| 1356549638 | David Nathan Prall | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2007-07-06 |
| 1336355049 | Basir U Tareen | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2007-05-16 |
| 1336352681 | Anna M Leininger | Genetic Counselor, MS | 6025 Lake Rd, Woodbury, MN 55125-1712 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396981668 | Michael W Rosen | Internal Medicine | 32 Mackay Farm Rd, Woodbury, CT 06798-2509 | 2008-12-17 |
| 1366691636 | Laxmidas Anant Sawkar | Internal Medicine | 11376 Sandcastle Dr, Woodbury, MN 55129-8562 | 2008-09-11 |
| 1093760290 | Girum L Lemma | Internal Medicine | 6025 Lake Rd Ste 110, Woodbury, MN 55125-1709 | 2006-05-24 |
| 1336120211 | Bruce Ira Kappel | Internal Medicine | 40 Crossways Park Dr, Ste 103, Woodbury, NY 11797-2036 | 2005-11-08 |
| 1508857772 | Nancy Nan Szu Sun | Internal Medicine | 40 Crossways Park Drive, Woodbury, NY 11797-2036 | 2005-11-04 |
| 1255338216 | Oncology and Hematology Associates | Internal Medicine | 17 W Red Bank Ave, Suite 101, Woodbury, NJ 08096-1630 | 2005-07-06 |
| 1114430089 | Minnesota Oncology Hematology, Pa | Internal Medicine | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2017-11-14 |
| 1497062400 | Margarita Yarovikova | Internal Medicine | 40 Crossways Park Dr, Suite 103, Woodbury, NY 11797-2036 | 2010-09-13 |
| 1710179981 | The Center for Cancer & Hematologic Disease | Internal Medicine | 608 N Broad St, Suite 300, Woodbury, NJ 08096-1794 | 2007-08-13 |
| 1174715247 | Josy Mathew | Internal Medicine | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2007-08-13 |
| Find all providers in WOODBURY | ||||
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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.