Active NPI
Andrew Deak, M.D.
- Gastroenterology Physician
- Cincinnati, OH
National Provider Identifier
1922002476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35-035423
- Practice address
- 3652 Werk Rd
Cincinnati, OH 45248-4900 - Phone
- (513) 233-4100
- Fax
- (513) 751-2267
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35-035423 | OH | Primary |
Addresses
Primary practice location
3652 Werk Rd
Cincinnati, OH 45248-4900
Mailing address
PO Box 632958
Cincinnati, OH 45263-2958
Phone (513) 451-9698
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100010951 | Other | OH | RAILROAD MEDICARE |
| 0363940 | Medicaid | OH |
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 |
|---|---|---|---|
| 35-035423 | OH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Cincinnati Digestive Health Network | Gastroenterology | Current | Accepting new patients |
Locations
3652 Werk Rd
Cincinnati, OH 45248
Phone (513) 233-4100
3648 Werk Rd
Cincinnati, OH 45248
Phone (513) 233-4100
100 Arrow Springs Blvd
#200
Lebanon, OH 45036
Phone (513) 231-9010
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Cincinnati, OH
- NPI 1720093586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1922002476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632958",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632958",
"telephone_number": "513-451-9698",
"fax_number": "513-451-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3652 WERK RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452484900",
"telephone_number": "513-233-4100",
"fax_number": "513-751-2267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAK",
"first_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35-035423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100010951",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0363940",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
- Deaconess Hospital of Cincinnati Oh
- Deaconess Hospital of Cincinnati Oh
- Deaconess Hospital of Cincinnati Oh
- Deaconess Long Term Care of Missouri, Inc
- Deaconess Long Term Care of Ohio, Inc.
- Malorie Jean Deakins, PHARMD
- Dealos Investments
- Alisha Dean, MS CCC-SLP
- Allison R. Dean, APRN-CNP
- Amber Renee Dean
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.