Active NPI
Steve J. Dean, M.D.
- Internal Medicine Physician
- Ravenna, OH
National Provider Identifier
1164519047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-037496
- Practice address
- 3973 Loomis Pkwy
Suite D
Ravenna, OH 44266-1803 - Phone
- (330) 296-2819
- Fax
- (330) 296-9503
- NPI assigned
- Oct 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-037496 | OH | Primary |
Addresses
Primary practice location
3973 Loomis Pkwy
Suite D
Ravenna, OH 44266-1803
Mailing address
515 Woodbend Rd
Ravenna, OH 44266-8762
Phone (330) 296-7217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0794216 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-037496 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1164519047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 WOODBEND RD",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442668762",
"telephone_number": "330-296-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3973 LOOMIS PKWY",
"address_2": "SUITE D",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442661803",
"telephone_number": "330-296-2819",
"fax_number": "330-296-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "STEVE",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-037496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0794216",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.