Active NPI
Dea, MD, PC
- Internal Medicine Physician
- Oak Ridge, TN
National Provider Identifier
1578370409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DEA, MD, PC
- Doing business as
- Dea, MD, PC
- Practice address
- 138 Fairbanks Rd
Oak Ridge, TN 37830-7077 - Phone
- (931) 248-1414
- Fax
- (931) 707-5178
- NPI assigned
- Dec 13, 2024
- Last updated
- Dec 13, 2024
- 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
- Derron E Allen, MD
- Title
- Owner
- Phone
- (615) 479-0743
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
138 Fairbanks Rd
Oak Ridge, TN 37830-7077
Mailing address
PO Box 3350
Crossville, TN 38557-3350
Phone (931) 248-1414
Other names 1
- DEA, MD, PC
National Provider Directory
National Provider DirectoryLocations
138 Fairbanks Rd
Oak Ridge, TN 37830
Phone (931) 248-1414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1902078041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1578370409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3350",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385573350",
"telephone_number": "931-248-1414",
"fax_number": "931-707-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 FAIRBANKS RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307077",
"telephone_number": "931-248-1414",
"fax_number": "931-707-5178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEA, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "DERRON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-479-0743",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DEA, MD, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.