Individual provider Active NPI

Joseph Randall Dennison, M.D.

  • Urology Physician
  • Maysville, KY
National Provider Identifier
1902803091
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
22358 Issued in KY
Practice address
991 Medical Park Dr
Maysville, KY 41056-8764
Phone
(606) 759-9050
Fax
(606) 759-4407
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22358 KY
Urology Physician 208800000X 22358 KY Primary

Addresses

Primary practice location

991 Medical Park Dr
Maysville, KY 41056-8764

Mailing address

991 Medical Park Dr
Maysville, KY 41056-8764
Phone (606) 759-9050

Other identifiers 1

IdentifierTypeStateIssuer
64223589MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, KY, MO, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20081105000678 WI Practitioner - Urology 5496814485 Reassigns benefits to 1 organization
I20091205000146 KY Practitioner - Urology 5496814485 Reassigns benefits to 3 organizations
I20210622001837 MO Practitioner - Urology 5496814485 Reassigns benefits to 1 organization
I20220809003971 OH Practitioner - Urology 5496814485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone (606) 780-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22358KYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Apr 26, 2021 Accepting new patients
Ohio County Hospital Corporation CurrentSince Mar 1, 2026 Accepting new patients
Meadowview Physician Practice, LLC Current Accepting new patients
Meadowview Physician Practice LLC CurrentSince Oct 4, 2009 Accepting new patients
Christ Hospital Medical Specialists LLC Urology CurrentSince Mar 22, 2022 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Feb 7, 2022 Accepting new patients
Meadowview Physician Practice LLC CurrentSince Oct 4, 2009 Accepting new patients
St Claire Medical Center, Inc CurrentSince Feb 21, 2023 Accepting new patients
Ohio County Hospital Corporation CurrentSince Mar 1, 2026 Accepting new patients
SSM Health Care St. Louis CurrentSince Apr 26, 2021 Accepting new patients
Aspirus Medical Group, Inc. Urology CurrentSince Feb 7, 2022 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients
St Claire Medical Center, Inc Urology CurrentSince Feb 21, 2023 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

29980 Network Pl
Chicago, IL 60673

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

663 Maratech Ave
Marathon, WI 54448
Phone (715) 443-2727

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • Direct secure messaging: jdennison176393@direct.aspirus.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1902803091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568764",
            "telephone_number": "606-759-9050",
            "fax_number": "606-759-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568764",
            "telephone_number": "606-759-9050",
            "fax_number": "606-759-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "JOSEPH",
        "middle_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "22358",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "22358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64223589",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.