Active NPI
Edward Jackson Dease III, M.D.
- Anesthesiology Physician
- Covington, LA
National Provider Identifier
1881637973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 09339R
- Practice address
- 229 Saint John LN
Covington, LA 70433 - Phone
- (866) 875-9225
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 09339R | LA | MD | Anesthesiology Physician |
| 00025600 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anne ER Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Riverside Medical Center | Past | Accepting new patients | |
| Rapid Urgent Care Inc. | Past | Accepting new patients | |
| Rapid Urgent Care, Inc. | Past | Accepting new patients | |
| Rapid Urgent Care, Inc | Past | Accepting new patients | |
| Riverside Medical Center | Past | Accepting new patients | |
| Hospital Service District No. 2 | Past | Accepting new patients | |
| Rapid Urgent Care, Inc | Past | Accepting new patients | |
| Rapid Urgent Care, Inc | Past | 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.
-
- Emergency Medicine Physician
- Raceland, LA
- NPI 1740699248
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1215987441
-
- Urgent Care Clinic/Center
- Amite, LA
- NPI 1205316650
-
- Urgent Care Clinic/Center
- Slidell, LA
- NPI 1538531561
-
- Urgent Care Clinic/Center
- Covington, LA
- NPI 1750776118
-
- Urgent Care Clinic/Center
- Bogalusa, LA
- NPI 1841851110
-
- Urgent Care Clinic/Center
- Mandeville, LA
- NPI 1285970780
-
- Urgent Care Clinic/Center
- Albany, LA
- NPI 1467085530
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1982152369
-
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1548263262
-
dba Riverside Cardiology Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1538634977
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.