Active NPI
David A. Dean, D.O.
- Emergency Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 15337
- Practice address
- 1850 Chadwick Dr
Central Mississippi Medical Center Emergency Department
Jackson, MS 39204-3404 - Phone
- (601) 376-2943
- Fax
- (601) 376-2947
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 15337 | MS | Primary |
Addresses
Primary practice location
1850 Chadwick Dr
Central Mississippi Medical Center Emergency Department
Jackson, MS 39204-3404
Mailing address
441 Wimbledon Drive
Brandon, MS 39047
Phone (601) 829-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00120974 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-2832
Hospital & facility affiliations
- Merit Health Central
- Merit Health River Oaks
- Merit Health River Region
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leake Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| App of Mississippi Ed, LLC | Emergency Medicine | Current | Accepting new patients |
| King'S Daughters Medical Center | Current | Accepting new patients | |
| Attala Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Jackson HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| United Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Kings Daughters Medical Center | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of West Point, LLC | Emergency Medicine | Current | Accepting new patients |
| Medical Services of Meridian, Inc. | Emergency Medicine | Current | Accepting new patients |
| Relias Emergency Medicine Specialists of Amory, LLC | Emergency Medicine | Current | Accepting new patients |
| Relias Emergency Medicine Specialists of Hattiesburg LLC | Emergency Medicine | Current | Accepting new patients |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current | Accepting new patients |
| River Oaks Management Company LLC | Past | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000
1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1184305856
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1730687740
-
- Emergency Medicine Physician
- Kosciusko, MS
- NPI 1407103294
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- Anesthesiology Physician
- Brookhaven, MS
- NPI 1043245368
-
- Emergency Medicine Physician
- Carthage, MS
- NPI 1669028130
-
- Emergency Medicine Physician
- Amory, MS
- NPI 1265074769
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1609409440
-
- Emergency Medicine Physician
- West Point, MS
- NPI 1275172736
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
-
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1881476364
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1033163092
-
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379203200000",
"number": "1114976677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 WIMBLEDON DRIVE",
"city": "BRANDON",
"state": "MS",
"postal_code": "39047",
"telephone_number": "601-829-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 CHADWICK DR",
"address_2": "CENTRAL MISSISSIPPI MEDICAL CENTER EMERGENCY DEPARTMENT",
"city": "JACKSON",
"state": "MS",
"postal_code": "392043404",
"telephone_number": "601-376-2943",
"fax_number": "601-376-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "DAVID",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2013-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "15337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120974",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.