Marcus C Deede MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1761 Issued in AK

Legal business name

MARCUS C DEEDE MD

Practice address

265 N Binkley St
Soldotna, AK 99669-7523

Phone

(907) 262-9341

Fax

(907) 262-1545

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Marcus C Deede, M.D.

Title

Sole Proprietor

Phone

(907) 262-9341

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1093041303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N BINKLEY ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697523",
            "telephone_number": "907-262-9341",
            "fax_number": "907-262-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N BINKLEY ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697523",
            "telephone_number": "907-262-9341",
            "fax_number": "907-262-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS C DEEDE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "DEEDE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "907-262-9341",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPG0069",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tamar Gibli Marcotte, D.O.
• Marikeet Home Health Services of Alaska, LLC
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• Winter Joy Marshall-Allen, RBT-19-92324
• Bryce Allen Martin
• Karen M Martin, AU.D.

• Family Medicine Physician in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.