NPIMap

Organization Active NPI

Rodney Dean MD PLLC

  • Urology Physician
  • South Charleston, WV
National Provider Identifier
1083893648
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
11047 Issued in WV
Legal business name
RODNEY DEAN MD PLLC
Practice address
432 Division St
South Charleston, WV 25309-1402
Phone
(304) 768-2221
Fax
(304) 768-9260
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rodney Douglas Dean, MDNPI 1093702318
Title
Owner
Phone
(304) 768-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 11047 WV Primary

Addresses

Primary practice location

432 Division St
South Charleston, WV 25309-1402

Mailing address

432 Division St
South Charleston, WV 25309-1402
Phone (304) 768-2221

Other identifiers 1

IdentifierTypeStateIssuer
0131118001MedicaidWV

Other names 1

  • Herbert J. Thomas Memorial Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
Rodney Dean MD PLLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

432 Division St
South Charleston, WV 25309
Phone (304) 768-2221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1083893648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 DIVISION ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091402",
            "telephone_number": "304-768-2221",
            "fax_number": "304-768-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 DIVISION ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091402",
            "telephone_number": "304-768-2221",
            "fax_number": "304-768-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY DEAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-768-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WV",
            "license": "11047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131118001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herbert J. Thomas Memorial Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.