Healthcare Provider Details

I. General information

NPI: 1336161876
Provider Name (Legal Business Name): JAMIE L. FLYNN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE L. HODGSON PA

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 WASHINGTON RD LOWR LEVEL
PITTSBURGH PA
15228-1903
US

IV. Provider business mailing address

607 WASHINGTON RD LOWR LEVEL
PITTSBURGH PA
15228-1903
US

V. Phone/Fax

Practice location:
  • Phone: 412-841-6758
  • Fax: 412-668-0606
Mailing address:
  • Phone: 412-841-6758
  • Fax: 412-668-0606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA052720
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: