P Praxis·MD
● Active Type 1 · Individual

DR. Jerrold Neil Flyer, MD

Surgery·Mountain Home Afb, ID· NPI 1417944240 · Enumerated 2005 · 20 years on NPI
Flyer is 1 of 1 surgery providers in Mountain Home Afb and 1 of 260 in Idaho.
NPI age
20 years
Enumerated 2005-10-06
Primary specialty
Surgery
Licensed in
NY
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
90 Hope Dr, Building 6000
Mountain Home Afb, ID 836481057
📞 2088287600
Mailing address
4476 Tuck St
Mountain Home Afb, ID 836481107
📞 6233268092

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    NY license #162603-1 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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