=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568598225
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VINCENT J. FLANDERS MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2007
-----------------------------------------------------
Last Update Date | 09/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10603 N MERIDIAN ST
-----------------------------------------------------
City | CARMEL
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46290-1055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-328-3747
-----------------------------------------------------
Fax | 317-489-5166
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3502 WOODVIEW TRCE
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46268-3181
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 173-283-3747
-----------------------------------------------------
Fax | 317-489-5166
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0204X
-----------------------------------------------------
Taxonomy Name | Vascular & Interventional Radiology Physician
-----------------------------------------------------
License Number | 01069209A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2085R0202X
-----------------------------------------------------
Taxonomy Name | Diagnostic Radiology Physician
-----------------------------------------------------
License Number | 01069209A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------