THOMAS REX FLYGT (NPI# 1669437158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669437158 |
| Entity Type | Individual |
| Full Name | THOMAS REX FLYGT |
| Credential | MD |
| Practice Address |
1700 Tuttle St Baraboo WI 53913-3319 |
| Practice Telephone | 6083553800 |
| Practice Fax Number | 6083553800 |
| Mailing Telephone | 6083553800 |
| Mailing Fax Number | 6083553800 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 24678-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
24678-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1669437158 | 05 |
| Street Address |
1700 TUTTLE ST |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972580512 | Debra M. Nyquist | Family Medicine | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2005-12-26 |
| 1336778273 | Jeffrey Daniels | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2020-04-03 |
| 1184253049 | Andrea Kratzke Nelson | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2020-04-03 |
| 1316409196 | Jack M Massee | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2019-04-02 |
| 1811459605 | Jamie R Petzke | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2019-04-02 |
| 1447757323 | Sarah Schaaf | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2018-04-09 |
| 1790297703 | Angela S Lothe | Nurse Practitioner | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2017-10-31 |
| 1265969711 | Jessica R. Miller | Family Medicine | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2017-05-16 |
| 1770029985 | Gurinderpreet S Ghuman | Physician Assistant | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2017-01-11 |
| 1942743661 | Bailey R Haas | Physician Assistant | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2016-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1487015301 | Louis Harvey Frase | Internal Medicine | 2516 E Princeton Ave, Eau Claire, WI 54703-4133 | 2016-03-20 |
| 1588045702 | Maureen Bruns | Internal Medicine | 3054 Maple Grove Dr, Madison, WI 53719-1912 | 2015-06-12 |
| 1952554966 | William Jerold Hisgen | Internal Medicine | 1215 Garfield St, 1215 Garfield St., Madison, WI 53711-2215 | 2008-11-04 |
| 1114005642 | Ahmet U. Demircioglu | Internal Medicine | 2000 E Layton Ave Ste 170, St Francis, WI 53235-6055 | 2006-11-01 |
| 1235229568 | Mary Parish Gavinski | Internal Medicine | 205 Bishops Way, Brookfield, WI 53005-6247 | 2006-10-16 |
| 1831200781 | In-your-home Medicine & Geriatrics | Internal Medicine | 3915 N Ridgefield Cir, Shorewood, WI 53211-2451 | 2006-08-31 |
| 1376653261 | Paul Joseph Drinkt | Internal Medicine | N2665 County Rd Qq, Wisconsin Veterans Home, King, WI 54946 | 2006-08-30 |
| 1003882994 | Soryal A Soryal | Internal Medicine | 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 | 2006-02-28 |
| 1467439729 | Kanwardeep Singh | Internal Medicine | 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213-3189 | 2005-12-28 |
| 1528674801 | Pai Participant 23 Sc | Internal Medicine | 1475 Birch Hill Ln, Shawano, WI 54166-3707 | 2020-09-22 |
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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.