Individual provider Active NPI

Edward Jackson Dease III, M.D.

  • Anesthesiology Physician
  • Covington, LA
National Provider Identifier
1881637973
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
09339R Issued in LA
Practice address
229 Saint John LN
Covington, LA 70433
Phone
(866) 875-9225
NPI assigned
Jun 14, 2006
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 09339R LA Primary
Emergency Medicine Physician 207P00000X 00025600 AL

Addresses

Primary practice location

229 Saint John LN
Covington, LA 70433

Mailing address

229 Saint John LN
Covington, LA 70433-3276
Phone (866) 875-9225

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
09339RLAMDAnesthesiology Physician
00025600ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Anne ER Group, LLC Emergency Medicine Current Accepting new patients
Riverside Medical Center Past Accepting new patients
Rapid Urgent Care Inc. PastSince Aug 6, 2012 Accepting new patients
Rapid Urgent Care, Inc. PastSince Aug 6, 2012 Accepting new patients
Rapid Urgent Care, Inc PastSince Aug 6, 2012 Accepting new patients
Riverside Medical Center Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Rapid Urgent Care, Inc PastSince Aug 6, 2012 Accepting new patients
Rapid Urgent Care, Inc PastSince Aug 6, 2012 Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

Organizations & group practices 12

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1881637973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SAINT JOHN LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333276",
            "telephone_number": "866-875-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SAINT JOHN LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "866-875-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASE",
        "first_name": "EDWARD",
        "middle_name": "JACKSON",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "09339R",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00025600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.