Doctor profile · Federal record
Dr. DEIDRE FLANAGAN, MD
Surgery Physician (CMS: GENERAL SURGERY) · Surgery Physician · MOAB, UT
- NPI 1013902592
- Accepts Medicare
- 32 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
450 WILLIAMS WAY
MOAB, UT 845322185
(435) 719-3500 - Additional location
-
1501 S Madison St
Appleton, WI 549151846
(920) 730-4435 - Additional location
-
476 Williams Way
Moab, UT 845322186
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- November 28, 2022
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- Utah #12793568-1205 · Wisconsin #40899
- Medicaid (2)
- WI #32544100 · UT #1013902592
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013902592. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$79
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| TELA Bio, Inc. | 1 | $78.96 |