Provider Demographics
NPI:1023080595
Name:FLYNN, SARAH A (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2400 W 49TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6581
Practice Address - Country:US
Practice Address - Phone:605-312-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD52162084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN151K2FLOtherCC SYSTEMS/ BLUE PLUS
SD30471OtherSANFORD HEALTH PLANS
SD370624200OtherDEPT OF LABOR
SD57108C019OtherWPS TRICARE
SD7101770Medicaid
IA0572016Medicaid
SD1908622OtherARAZ/ AMERICA'S PPO
SD4996036OtherBLUE CROSS
ND12200Medicaid
SD240871OtherMIDLANDS CHOICE
SDHP39545OtherHEALTHPARTNERS
MN983130400Medicaid
NE46022474352Medicaid
MN040121002OtherPRIMEWEST
SD412991034955OtherPREFERRED ONE
SD5216OtherDAKOTACARE
MN983130400Medicaid
ND12200Medicaid