Provider Demographics
NPI:1336145887
Name:FLYNN, JAMES MURRAY (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MURRAY
Last Name:FLYNN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:5100 N BROOKLINE AVE
Mailing Address - Street 2:STE 375
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-3628
Mailing Address - Country:US
Mailing Address - Phone:405-943-1881
Mailing Address - Fax:405-943-7916
Practice Address - Street 1:5100 N BROOKLINE AVE
Practice Address - Street 2:STE 375
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-3628
Practice Address - Country:US
Practice Address - Phone:405-943-1881
Practice Address - Fax:405-943-7916
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2012-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK122213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK5503960001Medicare NSC
OKT40743Medicare UPIN