Provider Demographics
NPI:1003887399
Name:FLANNERY, ROBERT HARRY (DPM)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HARRY
Last Name:FLANNERY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 DELLVIEW CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3774
Mailing Address - Country:US
Mailing Address - Phone:724-836-0119
Mailing Address - Fax:
Practice Address - Street 1:1225 S MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5370
Practice Address - Country:US
Practice Address - Phone:724-832-8000
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001488L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0154588OtherHEALTHAMERICA
PA148547OtherSECURITY BLUE
PA454042OtherAETNA
PA148547OtherMEDIGAP BLUE
PA1005041OtherGATEWAY
PA60510OtherMED PLUS
PA0154588OtherHEALTHASSURANCE
PA454042OtherUS HEALTHCARE
PA480022925OtherRAILROAD MEDICARE
PA148547OtherCOMMUNITY BLUE
PA486616OtherFREEDOM BLUE
PA503224003Medicaid
PA0154588OtherADVANTRA
PA082801OtherUNITED MINEWORKERS