MEDICARE: FLANNAGAN PLASTIC SURGERY P.C.

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
1	208200000X	Plastic Surgery Physician		IN

General Provider Information

NPI Number	:	1073713194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLANNAGAN PLASTIC SURGERY P.C.

Provider Business Mailing Address
First Line	:	2005 SAINT CHARLES ST STE 4
Second Line	:
City	:	JASPER
State	:	IN
Zip	:	47546-2271
Country	:	US
Telephone Number	:	812-634-6600
Fax Number	:	812-634-6621

Provider Business Practice Location Address
First Line	:	2005 SAINT CHARLES ST
Second Line	:	SUITE 4
City	:	JASPER
State	:	IN
Zip	:	47546-9146
Country	:	US
Telephone Number	:	812-634-6600
Fax Number	:	812-634-6621

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RYAN FLANNAGAN
Credential	:	MC
Telephone Number	:	812-634-6600

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	01/14/2026

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