Individual provider Active NPI

David John Deam, MD

  • General Practice Physician
  • Spring Hill, FL
National Provider Identifier
1730124165
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME44664 Issued in FL
Practice address
5423 Commercial Way
Spring Hill, FL 34606-1110
Phone
(352) 600-3434
Fax
(352) 600-3403
NPI assigned
Jun 19, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME44664 FL Primary

Addresses

Primary practice location

5423 Commercial Way
Spring Hill, FL 34606-1110

Mailing address

5423 Commercial Way
Spring Hill, FL 34606-1110
Phone (352) 600-3434

Other practice location 1

10065 Cortez Blvd
Weeki Wachee, FL 34613-6389
Phone (352) 596-4660

Other identifiers 1

IdentifierTypeStateIssuer
ME44664OtherFLSTATE LICENSE

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

LicenseStateTypeSpecialty
ME44664FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Medical Clinic PA Past Accepting new patients
St Luke Heart Institute Inc Past Accepting new patients
Brooksville Hma Physician Management LLC General Practice Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730124165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061110",
            "telephone_number": "352-600-3434",
            "fax_number": "352-600-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061110",
            "telephone_number": "352-600-3434",
            "fax_number": "352-600-3403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10065 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Weeki Wachee",
            "state": "FL",
            "postal_code": "346136389",
            "country_code": "US",
            "telephone_number": "352-596-4660",
            "fax_number": "352-596-4674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAM",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME44664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME44664",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.