CANDICE DEAN (NPI# 1174878540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174878540 |
| Entity Type | Individual |
| Full Name | CANDICE DEAN |
| Credential | DO |
| Practice Address |
323 E Hawkins Pkwy Longview TX 75605-7905 |
| Mailing Address |
Po Box 4207 Longview TX 75606-4207 |
| Practice Telephone | 9035446780 |
| Practice Fax Number | 9035446799 |
| Mailing Telephone | 9033154119 |
| Mailing Fax Number | 9033154130 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Q3503 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
323 E HAWKINS PKWY |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-7905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515169 | Christina Ann Tinkler | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2005-06-02 |
| 1134744410 | Sara Elizabeth Hale | Nurse Practitioner | 323 E Hawkins Pkwy, Longview, TX 75605-8153 | 2020-06-11 |
| 1730434168 | Kristen Mahurin | Nurse Practitioner | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2012-07-23 |
| 1043472350 | Kraig A. Dekoker | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2008-06-27 |
| 1043329212 | David Edward Stanley | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2006-08-30 |
| 1568408649 | Eva Jamille Pierce | Physician Assistant | 323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905 | 2006-06-20 |
| 1720021280 | Diana Malone | Family Medicine | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2006-06-13 |
| 1457303976 | Jennifer Anne Benedict | Nurse Practitioner | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2006-05-16 |
| 1285630558 | Rekha Reddy | Internal Medicine | 323 E Hawkins Pkwy, Longview, TX 75605-7905 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841843075 | Mhpc Dallas Pllc | Internal Medicine | 3080 N Eastman Rd Ste 101, Longview, TX 75605-7978 | 2019-07-17 |
| 1306210620 | Edward Eugene Smith Md | Internal Medicine | 240 Imperial Dr, Longview, WA 98632-0704 | 2015-11-24 |
| 1972992683 | Sarat Jampana LLC | Internal Medicine | 1202 Secluded Ln, Longview, TX 75604-2859 | 2015-01-19 |
| 1801208673 | Makona Snf, LLC | Internal Medicine | 1016 Riverwood Dr, Longview, TX 75604-6229 | 2014-05-28 |
| 1093145070 | Raj Kumar Akula | Internal Medicine | 1130 E Hawkins Pkwy, Apt 6301, Longview, TX 75605-8002 | 2013-11-12 |
| 1558705814 | Jessica Small Garner | Internal Medicine | 701 E Marshall Ave Ste 200, Longview, TX 75601-5544 | 2013-04-17 |
| 1730453051 | Wendell D. Daniels M.d., P.a. | Internal Medicine | 515 N. 3rd St., Longview, TX 75606 | 2012-03-05 |
| 1467689158 | Helen C Daniel | Internal Medicine | 802 Medical Dr Ste 201, Longview, TX 75605-5202 | 2009-06-19 |
| 1235394487 | Nishit Kumar Srivastava | Internal Medicine | 701 E Marshall Ave Ste 400, Longview, TX 75601-5595 | 2008-07-26 |
| 1649459595 | Sanjay G Reddy | Internal Medicine | 802 Medical Dr Ste 205, Longview, TX 75605-5208 | 2007-10-29 |
| Find all providers in LONGVIEW | ||||
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| 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.