Provider Demographics
NPI:1174580310
Name:FLAGG, ELENA F (MD)
Entity type:Individual
Prefix:DR
First Name:ELENA
Middle Name:F
Last Name:FLAGG
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 1:329 MCLAWS CIR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-6337
Mailing Address - Country:US
Mailing Address - Phone:757-220-8579
Mailing Address - Fax:757-345-0936
Practice Address - Street 1:329 MCLAWS CIR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-6337
Practice Address - Country:US
Practice Address - Phone:757-220-8579
Practice Address - Fax:757-345-0936
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058959207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5877741Medicaid
VA541374556OtherTRICARE FOR LIFE
VA2815503001OtherCIGNA
VA3200218OtherUNITED HEALTH CARE
VA142096OtherBLUE CROSS
VA541374556OtherCHAMPUS
VA58854OtherSENTARA
VA58854OtherSENTARA
VA660000077Medicare ID - Type Unspecified