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NPI Code Detail

MEDICARE: MATTHEW J FLANIGAN MD

MEDICARE: MATTHEW J FLANIGAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35.125704OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811239650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW J FLANIGAN MD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-5123
Fax Number : 614-293-4980
Provider Business Practice Location Address
First Line : 895 YARD ST
Second Line :
City : GRANDVIEW HEIGHTS
State : OH
Zip : 43212-3886
Country : US
Telephone Number : 614-293-5123
Fax Number : 614-293-4980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2013
Last Update Date : 03/06/2024

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Directions to “ MATTHEW J FLANIGAN MD” Practice Location

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