CHARLES L. DEAN (NPI# 1245329648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245329648 |
| Entity Type | Individual |
| Full Name | CHARLES L. DEAN |
| Credential | PA |
| Practice Address |
3800 S National Ave Ste 600 Springfield MO 65807-5249 |
| Practice Telephone | 4178753846 |
| Mailing Telephone | 4178753846 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0956 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 2006031509 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ANTHEM | 214924 | 01 |
| RR MEDICARE | P00350032 | 01 | |
| OK | 200096650A | 05 | |
| MO | 220083022 | 05 | |
| KS | 200406410A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 W 18th St, Sioux Falls, SD 571050401 | 6053122200 | 6053122205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093835910 | Charles Howard Dean | Day Training, Developmentally Disabled Services | 1024 40th Ave Ne, Saint Petersburg, FL 33703-5228 | 2007-04-02 |
| 1447379979 | Charles D. Dean IIi | Dentist | 401 W 4th North St, Summerville, SC 29483-6547 | 2007-03-28 |
| 1801969696 | Charles H Dean | Dentist | 2458 Dayton Xenia Rd, Beavercreek, OH 45434-7168 | 2006-11-17 |
| 1477554087 | Charles Dean | Nurse Anesthetist, Certified Registered | 500 W Berkeley St, Uniontown, PA 15401-5514 | 2005-08-04 |
| 1356961684 | Charles Thomas Dean | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2020-04-16 |
| 1518512755 | Charles Dean IIi | Specialist/Technologist | 500 E 9th St, Claremont, CA 91711-5929 | 2019-08-05 |
| 1083856371 | Charles Dennis Dean | Physical Therapist | 1521 N Carpenter Rd Ste D1, Modesto, CA 95351-1217 | 2009-04-01 |
| 1447476601 | Charles Albert Dean | Dentist | 43 South St, Foxboro, MA 02035-2308 | 2007-04-17 |
| 1780739003 | Charles K Dean | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2007-01-25 |
| 1699880559 | Charles Edward Dean | Psychiatry & Neurology | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-08-20 |
| Street Address |
3800 S NATIONAL AVE STE 600 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134156805 | Deborah Ann Upton | Nurse Practitioner | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2006-06-27 |
| 1265049910 | Alissa Joy Snider | Nurse Practitioner | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2020-09-27 |
| 1154956795 | Steven Lee Swensen | Physician Assistant | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2020-03-04 |
| 1609400647 | Frances Claire Theisen | Physician Assistant | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2020-02-28 |
| 1730713033 | Riley Austin Moore | Physician Assistant | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2020-02-25 |
| 1073168985 | Rozlyn Elayne Mcteer | Nurse Practitioner | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2019-08-07 |
| 1700446887 | Nicole Lee Browne | Nurse Practitioner | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2019-06-19 |
| 1740742998 | Erin Elizabeth Raymond | Registered Nurse | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2019-04-04 |
| 1740754886 | Sarah Opal Lynn Watts | Physician Assistant | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2019-01-11 |
| 1427521616 | Hannah Jo Hall | Registered Nurse | 3800 S National Ave Ste 600, Springfield, MO 65807-5249 | 2019-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on CHARLES L. 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.