Active NPI
Dewey L. Dean MD PHD PSC
- Anatomic Pathology & Clinical Pathology Physician
- Murray, KY
National Provider Identifier
1396740015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64088081 | Medicaid | KY | |
| DC0699 | Other | KY | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Paducah, KY
- NPI 1508849506
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.