Healthcare Provider Details

I. General information

NPI: 1609903830
Provider Name (Legal Business Name): JOHN PATRICK FLANAGAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N MAIN ST
AKRON OH
44310-3110
US

IV. Provider business mailing address

525 E MARKET ST PO BOX 2090
AKRON OH
44304-1619
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-6363
  • Fax: 330-379-5144
Mailing address:
  • Phone: 330-996-8603
  • Fax: 330-996-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35030974
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: