Elizabeth Evalyn Dean, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R8J59 Issued in MO

Practice address

600 N Main St
Mount Vernon, MO 65712-1004

Phone

(417) 466-0180

Fax

(417) 466-0184

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Health Services Inc

  dba Family Medicine Associates

  • Federally Qualified Health Center (FQHC)
  • Saint Joseph, MO
  • NPI 1467497677

  Family Medicine

  Medicare reassignment NPD
• Northwest Health Services Inc

  dba Downtown Health Center

  • Federally Qualified Health Center (FQHC)
  • Saint Joseph, MO
  • NPI 1538059118

  Family Medicine

  NPD
• Northwest Health Services, Inc

  dba Family Medicine Associates

  • Federally Qualified Health Center (FQHC)
  • Saint Joseph, MO
  • NPI 1629190822

  Family Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720094667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121004",
            "telephone_number": "417-466-0180",
            "fax_number": "417-466-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121004",
            "telephone_number": "417-466-0180",
            "fax_number": "417-466-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "ELIZABETH",
        "middle_name": "EVALYN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8J59",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Whitney Cunningham, DPT
• Curators of the University of Missouri (Missouri Rehabilitation Center)
• Curators University of Mo (Dba Missouri Rehabilitation Center-Physicians Group)
• Derek Curtis, PTA
• Sabrina A Davis, OTR
• Robert J Dieckhoff
• Bethany Laurian Douglas, MSN FNP-C
• Michael Newman Douglas, RPH
• Thomas G Douglas, NP
• Ramonda Lynn Dugas, NP

• Family Medicine Physician in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.