SUSAN JANE DEAN (NPI# 1073577326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073577326 |
| Entity Type | Individual |
| Full Name | SUSAN JANE DEAN |
| Credential | MD |
| Practice Address |
2490 S Woodworth Loop Suite 310 Palmer AK 99645-7405 |
| Practice Telephone | 9077457575 |
| Practice Fax Number | 9077457570 |
| Mailing Telephone | 9077457575 |
| Mailing Fax Number | 9077457570 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2012-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
7300 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8928018 | 05 | |
| AK | MD9490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073796355 | Susan A Dean | Social Worker | 640 Jackson St, Emd Crisis Program, Saint Paul, MN 55101-2502 | 2007-12-10 |
| 1093913881 | Susan J Dean | Nurse Practitioner | 450 E Birch St, Calexico, CA 92231-2375 | 2007-07-03 |
| 1851513360 | Susan Brown Dean | Physical Therapist | 2700 152nd Ave Ne, Redmond, WA 98052 | 2007-05-03 |
| 1821115957 | Susan P Dean | Occupational Therapy Assistant | 30 Princeton Blvd, Lowell, MA 01851-2405 | 2007-03-23 |
| 1609992841 | Susan Dean | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2007-03-21 |
| 1568566735 | Susan Alice Dean | Internal Medicine | 1 Columbia St, Suite 200, Poughkeepsie, NY 12601-3923 | 2006-09-11 |
| Street Address |
2490 S WOODWORTH LOOP SUITE 310 |
| City | PALMER |
| State | AK |
| Zip Code | 99645-7405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366443871 | Michael R Senta | Surgery | 2490 S Woodworth Loop, Suite 450, Palmer, AK 99645-7405 | 2005-08-09 |
| 1487017877 | Megan Ferguson | Advanced Practice Midwife | 2490 S Woodworth Loop, Suite 301, Palmer, AK 99645-7410 | 2016-04-01 |
| 1770967598 | Midnight Sun Oncology Partners, LLC | Internal Medicine | 2490 S Woodworth Loop, Suite 499, Palmer, AK 99645-7410 | 2015-07-10 |
| 1568861086 | Glacier Surgical Associates, Inc | Surgery | 2490 S Woodworth Loop, Suite 450, Palmer, AK 99645-7410 | 2014-08-20 |
| 1972842326 | Brianna Nye | Physician Assistant | 2490 S Woodworth Loop, Suite 350, Palmer, AK 99645-7405 | 2013-02-05 |
| 1508129628 | Cellnetix Pathology, Pllc | Pathology | 2490 S Woodworth Loop, Suite 410, Palmer, AK 99645-7405 | 2012-06-22 |
| 1538422639 | Cellnetix Labs, LLC | Clinical Medical Laboratory | 2490 S Woodworth Loop, Palmer, AK 99645-7405 | 2012-06-22 |
| 1861776791 | Mat-su Plastic Surgery LLC | Plastic Surgery | 2490 S Woodworth Loop, Suite 310, Palmer, AK 99645-7405 | 2011-10-11 |
| 1245538396 | Sarah Wood Johanson | Nurse Practitioner | 2490 S Woodworth Loop, Suite 450, Palmer, AK 99645-7410 | 2011-03-14 |
| 1447570874 | Valley Radiation Oncology | Radiology | 2490 S Woodworth Loop, Suite 150, Palmer, AK 99645-7405 | 2010-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386966364 | Nourishing Direction Inc | Surgery | 1029 W 3rd Ave, Suite 510, Anchorage, AK 99501-1981 | 2010-02-18 |
| 1891741393 | Jana K Cole | Surgery | 2741 Debarr Rd Ste C215, Anchorage, AK 99508-2978 | 2006-05-26 |
| 1306018106 | Laurie J. Bleicher, M.d., LLC | Surgery | 3851 Piper St, Suite U-422, Anchorage, AK 99508-6904 | 2008-04-01 |
| 1720105034 | Gregory H Dostal Md PC | Surgery | 3225 Hospital Dr, #102, Juneau, AK 99801-7863 | 2007-03-23 |
Please comment or provide details below to improve the information on SUSAN JANE DEAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.