Nick Dedman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20896 Issued in KY

Practice address

466 Linden Ave
Harrodsburg, KY 40330-1841

Phone

(859) 734-5173

Fax

(859) 734-9925

NPI assigned

Aug 22, 2005

Last updated

Jan 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Nick Dedman, MD and Associates, P.S.C.

  • Family Medicine Physician
  • Harrodsburg, KY
  • NPI 1679523559

  Internal Medicine

  NPD Authorized official
• The James B. Haggin Memorial Hospital Inc

  dba Ephraim McDowell Dedman Primary Care

  • Family Medicine Physician
  • Harrodsburg, KY
  • NPI 1740794908
  NPD

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1801888201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 LINDEN AVE",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301841",
            "telephone_number": "859-734-5173",
            "fax_number": "859-734-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 LINDEN AVE",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301841",
            "telephone_number": "859-734-5173",
            "fax_number": "859-734-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDMAN",
        "first_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "20896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65922130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cumberland Family Medical Center Inc (Mercer Central High Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Mercer County Senior High Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Mercer County Intermediate Healthy Kids Clinic)
• Richard Myron Dartt, M.D.
• Amanda Dean, NP-C
• Megan J. Dehart, APRN FNP-C
• Joan Delahousay, CRNA
• Wesley A Denham, MA, PE
• Dennis Alan Hise, PSC
• April Derringer, LPN

• Internal Medicine Physician in Harrodsburg, KY
• Providers in Harrodsburg, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.