DR. SEAN F. FLYNN (NPI# 1407816044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407816044 |
| Entity Type | Individual |
| Full Name | DR. SEAN F. FLYNN |
| Credential | M.D. |
| Practice Address |
512 N Maple St Effingham IL 62401-2005 |
| Mailing Address |
1207 Network Centre Dr Suite 3 Effingham IL 62401-4632 |
| Practice Telephone | 2173477030 |
| Practice Fax Number | 2173477049 |
| Mailing Telephone | 2173472707 |
| Mailing Fax Number | 2173472827 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2014-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036104430 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 371391171003 | 05 | |
| IL | BLUE CROSS BLUE SHIELD IL | 0032540072 | 01 |
| FIRST HEALTH/ COVENTRY | 1351483 | 01 | |
| IL | RAILROAD MEDICARE | 080193907 | 01 |
| IL | HEALTH ALLIANCE | 076638 | 01 |
| IL | ILLINOIS LICENSE | 036104430 | 01 |
| IL | HEALTHLINK | 461699 | 01 |
| DEA # | BF7334737 | 01 | |
| IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE | 336065138 | 01 |
| PERSONAL CARE | 170989 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770097453 | Sean Patrick Flynn | Surgery | 11248 N Platte Dr, Oro Valley, AZ 85737-6521 | 2017-11-17 |
| 1386888121 | Sean Christopher Flynn | Internal Medicine | 4651 W Chester Pike Ste 200, Newtown Square, PA 19073 | 2009-04-23 |
| 1154576049 | Sean A Flynn | Pediatrics | 299 Glenwood Ave, 2nd Floor, Suite 6, Bloomfield, NJ 07003-2445 | 2008-11-19 |
| 1932370889 | Sean Patrick Flynn | Chiropractor | 2300 Hamilton Blvd, Sioux City, IA 51104-4042 | 2008-03-19 |
| 1619910940 | Sean Flynn | Psychologist | 5920 E Pima Street, Suite 140, Tucson, AZ 85712-4380 | 2006-06-14 |
| 1760006811 | Sean Patrick Flynn | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Internal Medicine Residency, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2020-06-04 |
| 1396389383 | Sean Flynn | Registered Nurse | 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | 2019-11-01 |
| 1245718980 | Sean Flynn | Physician Assistant | 520 E Foothill Blvd Ste A, Pomona, CA 91767-1200 | 2018-08-03 |
| 1972923217 | Sean Flynn | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, Mc 8402, San Diego, CA 92103-9000 | 2014-04-25 |
| 1023163649 | Sean Montague Flynn | Dentist | 2007 Broad River Rd, Columbia, SC 29210-7006 | 2007-01-24 |
| Street Address |
512 N MAPLE ST |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841489200 | Mid-illinois Medical Care Associates, LLC | Clinic/Center | 512 N Maple St, Effingham, IL 62401-2005 | 2007-10-22 |
| 1003911991 | Karen L. Robert | Physician Assistant | 512 N Maple St, Effingham, IL 62401-2005 | 2006-09-14 |
| 1013931567 | Andrew Robert Gage | Family Medicine | 512 N Maple St, Effingham, IL 62401-2005 | 2006-07-27 |
| 1174559413 | Carol Rae Warfield | Nurse Practitioner | 512 N Maple St, Effingham, IL 62401-2005 | 2006-06-25 |
| 1699735266 | Roger E. Bishop | Family Medicine | 512 N Maple St, Effingham, IL 62401-2005 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013198712 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 502 W Virginia Ave, Effingham, IL 62401-2260 | 2007-11-21 |
| 1922067289 | Mid-illinois Medical Care Associates, LLC | Family Medicine | 1207 Network Centre Dr, Suite 3, Effingham, IL 62401-4632 | 2006-03-23 |
| 1942208087 | Paul D. Oltman | Family Medicine | 905 N Maple St, Effingham, IL 62401-6433 | 2005-07-12 |
| 1710489349 | Adrienne Beth Kinney | Family Medicine | 503 N Maple St, Effingham, IL 62401 | 2018-02-28 |
| 1952747388 | James Richard Gartner | Family Medicine | 3 Woodland Dr, Effingham, IL 62401 | 2013-05-13 |
| 1083922090 | Paul D. Oltman, M.d., S.c. | Family Medicine | 900 W Temple Ave, Suite 204, Effingham, IL 62401-2121 | 2010-09-24 |
| 1578743688 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 900 W Temple Ave, Suite 103, Effingham, IL 62401-2121 | 2007-11-06 |
| 1013931567 | Andrew Robert Gage | Family Medicine | 512 N Maple St, Effingham, IL 62401-2005 | 2006-07-27 |
| 1376578492 | Hope E Knauer | Family Medicine | 300 N Maple St, Effingham, IL 62401-2003 | 2006-07-11 |
| 1740211390 | Jeffrey J Jenson | Family Medicine | 300 N Maple St, Effingham, IL 62401-2003 | 2006-07-05 |
| Find all providers in EFFINGHAM | ||||
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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.