Organization Active NPI

Dewey L. Dean MD PHD PSC

  • Anatomic Pathology & Clinical Pathology Physician
  • Murray, KY
National Provider Identifier
1396740015
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
DEWEY L. DEAN MD PHD PSC
Practice address
810 East Vine Street
Murray, KY 42071
Phone
(270) 762-1100
Fax
(270) 752-2290
NPI assigned
Jun 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Dr. Dewey L Dean, M.D., PHD
Title
Owner/Pathologist
Phone
(270) 752-2270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X KY Primary

Addresses

Primary practice location

810 East Vine Street
Murray, KY 42071

Mailing address

PO Box 22408
Saint Louis, MO 63126-0408
Phone (270) 366-0755

Other identifiers 2

IdentifierTypeStateIssuer
64088081MedicaidKY
DC0699OtherKYMEDICARE RAILROAD

National Provider Directory

National Provider Directory

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": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1396740015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22408",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631260408",
            "telephone_number": "270-366-0755",
            "fax_number": "314-846-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 EAST VINE STREET",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-762-1100",
            "fax_number": "270-752-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWEY L. DEAN MD PHD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "DEWEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PATHOLOGIST",
        "authorized_official_telephone_number": "270-752-2270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64088081",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC0699",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.