DR. TIMOTHY J FLYNN (NPI# 1205850765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205850765 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J FLYNN |
| Credential | M.D. |
| Practice Address |
3059 Edgewood Ave W Jacksonville FL 32209-2207 |
| Mailing Address |
1395 Nw 167th St Miami Gardens FL 33169-5710 |
| Practice Telephone | 3056286117 |
| Mailing Telephone | 3056286117 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME128665 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 17369 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 145990 | 01 |
| TN | 3033287 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Center Blvd, Cookeville, TN 385014294 | 9317832770 | 9315251176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113886 | Timothy Flynn | Speech-Language Pathologist | 3313 Wyndham Cir Apt 2207, Alexandria, VA 22302-4320 | 2018-08-14 |
| 1326285032 | Timothy J Flynn | Dentist | Calle El Buen Samaritano D-17, Juan Domingo, Guaynabo, PR 00966 | 2009-01-16 |
| 1386893154 | Timothy Michael Patrick Flynn | Nurse Practitioner | 1400 Congress Ave, Suite E1.214, Austin, TX 78701-1932 | 2008-09-16 |
| 1437233038 | Timothy Gerard Flynn | Chiropractor | 1042 W James St, Suite 101, Kent, WA 98032-4606 | 2006-10-24 |
| 1588752976 | Timothy William Flynn | Physical Therapist | 210 W Magnolia St, Suite 110, Fort Collins, CO 80521-2915 | 2006-10-11 |
| 1588757405 | Timothy J. Flynn | Counselor | 1415 East Green Bay St., Ste 191 Synergy Counseling Services, Sc, Shawano, WI 54166-3881 | 2006-10-02 |
| 1174566038 | Timothy M Flynn | Family Medicine | 5665 N Junction Way, Davis Junction, IL 61020 | 2006-06-14 |
| 1285626614 | Timothy R. Flynn | Internal Medicine | 1790 Mulkey Rd Ste 5a, Austell, GA 30106-1122 | 2005-08-22 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| 1245658103 | Timothy Flynn | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-28 |
| Street Address |
3059 EDGEWOOD AVE W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730601568 | Nelki Brunilda Rivera Acosta | Family Medicine | 3059 Edgewood Ave W, Jacksonville, FL 32209-2207 | 2017-07-13 |
| 1336689470 | Susan Gail Wolfe | Nurse Practitioner | 3059 Edgewood Ave W, Jacksonville, FL 32209-2207 | 2017-03-07 |
| 1801068135 | Rafael A Garcia | Family Medicine | 3059 Edgewood Ave W, Jacksonville, FL 32209 | 2008-03-27 |
| 1609929405 | Michael Hernandez | Internal Medicine | 3059 Edgewood Ave W, Jacksonville, FL 32209-2207 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004329 | Colin Craig Rowell | Internal Medicine | 4500 San Pablo Rd S Fl 32, Jacksonville, FL 32224-1865 | 2020-05-17 |
| 1457982977 | Ateeque Khan, Md P.a. | Internal Medicine | 3659 Eastbury Dr, Jacksonville, FL 32224-1659 | 2020-02-03 |
| 1013478221 | Naji Maaliki | Internal Medicine | 653-1 W 8th St Fl L184, Jacksonville, FL 32209-6511 | 2019-03-29 |
| 1770043259 | Fadi Kandah | Internal Medicine | 653-1 W 8th St # L15, Jacksonville, FL 32209-6511 | 2019-03-21 |
| 1346696002 | Alana Akers | Internal Medicine | 203 Nacogdoches St Ste 290, Jacksonville, TX 75766-2444 | 2016-05-11 |
| 1346602927 | Kevin Roy Green | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209-6511 | 2016-03-23 |
| 1093175770 | Alex Balmir | Internal Medicine | 655 W 8th St # Cc262, Jacksonville, FL 32209-6511 | 2016-02-24 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1316338957 | Deep Patel | Internal Medicine | 5238 Norwood Ave Ste 16, Jacksonville, FL 32208-5005 | 2015-02-17 |
| 1063801934 | Avecina Medical | Internal Medicine | 9580 Applecross Rd, 106, Jacksonville, FL 32222-5845 | 2015-01-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.