PHILLIP JORDAN DEAN (NPI# 1245464114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245464114 |
| Entity Type | Individual |
| Full Name | PHILLIP JORDAN DEAN |
| Credential | M.D. |
| Practice Address |
1100 S Jackson Hwy Suite 104 Sheffield AL 35660-5769 |
| Mailing Address |
930 Franklin St Se Huntsville AL 35801-4312 |
| Practice Telephone | 2563818811 |
| Practice Fax Number | 2563815677 |
| Mailing Telephone | 2565198104 |
| Mailing Fax Number | 2565198327 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2015-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
30609 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ALABAMA LICENSE | 30609 | 01 | |
| SC | MEDICAL LICENSE | 34344 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972584936 | Phillip A Dean | Colon & Rectal Surgery | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2005-11-08 |
| 1477511418 | Phillip L. Dean | Family Medicine | 1771 Commercial St, Warsaw, MO 65355-3096 | 2006-05-01 |
| Street Address |
1100 S JACKSON HWY SUITE 104 |
| City | SHEFFIELD |
| State | AL |
| Zip Code | 35660-5769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612311 | Justin Keith Coan | Nurse Practitioner | 1100 S Jackson Hwy, Suite 150, Sheffield, AL 35660-5774 | 2005-07-11 |
| 1275817694 | Stephen Keith Md | Obstetrics & Gynecology | 1100 S Jackson Hwy, Suite 259, Sheffield, AL 35660-5769 | 2011-10-04 |
| 1205124120 | North Alabama Physicians Service, LLC | Internal Medicine | 1100 S Jackson Hwy, Suite 150, Sheffield, AL 35660-5774 | 2011-07-12 |
| 1265622708 | Joseph R. Cuccia Md, PC | Psychiatry & Neurology | 1100 S Jackson Hwy, Suite 101, Sheffield, AL 35660-5769 | 2007-07-31 |
| 1649481706 | Kenneth R Copeland Sr. | Surgery | 1100 S Jackson Hwy, Suite 203, Sheffield, AL 35660-5769 | 2007-05-24 |
| 1245378645 | Aldridge & Keith, P.C. | Obstetrics & Gynecology | 1100 S Jackson Hwy, Suite 259, Sheffield, AL 35660-5769 | 2007-02-01 |
| 1639220403 | Valley Radiological Assocaites, PC | Radiology | 1100 S Jackson Hwy, Suite 205, Sheffield, AL 35660-5769 | 2007-01-16 |
| 1215092796 | Das S. Kanuru, M. D. | Specialist | 1100 S Jackson Hwy, Suite 100, Sheffield, AL 35660-5769 | 2006-12-26 |
| 1306914544 | F.c. Gapultos, Jr., M.d. | Specialist | 1100 S Jackson Hwy, Suite 200, Sheffield, AL 35660-5769 | 2006-12-04 |
| 1437244290 | Joseph Wheeler Flippen IIi | Obstetrics & Gynecology | 1100 S Jackson Hwy, Suite 259, Sheffield, AL 35660 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517317 | Remedy Behavioral Health | Social Worker | 1001 S. Jackson Highway, Shelfield, AL 35660 | 2020-10-27 |
| 1336557446 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 1300 S. Montgomery Ave., Sheffield, AL 35660 | 2014-08-01 |
| 1760647556 | James Ryan Conner | Specialist | 1120 S. Jackson Hwy, Suite 105, Sheffield, AL 35660 | 2008-07-22 |
| 1285894618 | Steven B Snyder | Obstetrics & Gynecology | 1120 Jackson Highway, Suite 104, Sheffield, AL 35660 | 2008-06-10 |
| 1124105671 | Shoals Ear Nose & Throat Group PC | Otolaryngology | 421 Cox Blvd, Sheffield, AL 35660 | 2006-11-01 |
| 1356363816 | Visunda Shay Giddy | Social Worker | 422 Dd Cox Boulevard, Sheffield, AL 35660 | 2006-07-24 |
| 1467405787 | Lisa M Christian | Obstetrics & Gynecology | 1100 South Montgomery Ave, Suite 259, Sheffield, AL 35660 | 2006-05-18 |
| 1437114055 | Mark A Kassels | Ophthalmology | 1110 S. Montgomery Ave, Sheffield, AL 35660 | 2006-04-18 |
| 1700386091 | Comprehensive Family Services, LLC | Social Worker | 398 Ashe Blvd, Sheffield, AL 35660 | 2018-02-13 |
| 1982113312 | The Treatment Centers, Inc. | Clinic/Center | 3430 N Jackson Hwy, Sheffield, AL 35660 | 2017-09-28 |
| Find all providers in zip 35660 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1255417598 | Tennessee Valley Cardiovascular Center, PC | Internal Medicine | 1120 S Jackson Hwy, Suite 302, Sheffield, AL 35660-5777 | 2006-10-30 |
| 1699746552 | Jerry Brent Williams | Internal Medicine | 1120 S Jackson Hwy, Suite 204, Sheffield, AL 35660-5777 | 2006-01-30 |
| 1205807385 | Randall Eugene Little | Internal Medicine | 1120 S Jackson Hwy, Suite 204, Sheffield, AL 35660-5777 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674098 | Jamie Torres | Internal Medicine | 1118 Ross Clark Cir Ste 403, Dothan, AL 36301-3038 | 2019-08-15 |
| 1770040255 | Druid City Vascular, P.C. | Internal Medicine | 701 University Blvd E Ste 608, Tuscaloosa, AL 35401-7411 | 2019-02-21 |
| 1962933796 | Robert Derenbecker | Internal Medicine | 1808 7th Avenue South Bdb 201, Birmingham, AL 35294-0010 | 2017-03-23 |
| 1770944340 | Jackson Hospital and Clinic, Inc | Internal Medicine | 74238 Tallassee Hwy, Wetumpka, AL 36092-5504 | 2016-03-10 |
| 1750742318 | Jackson Hospital and Clinic Inc | Internal Medicine | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 2016-03-10 |
| 1053791764 | Multi-specialty Care-cardiac Care In South, LLC | Internal Medicine | 4490 Al Highway 22, Valley Grande, AL 36701-0501 | 2015-06-08 |
| 1922497312 | Michael Mckinney Cardiology PC | Internal Medicine | 1110 Lakeview Cres, Birmingham, AL 35205-1119 | 2015-01-22 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1700136728 | Farnoosh Rahimi | Internal Medicine | 2451 Fillingim St Bldg C, Mobile, AL 36617 | 2012-09-17 |
| 1720333867 | Rayan Saab | Internal Medicine | 801 Princeton Ave Sw Ste 707, Birmingham, AL 35211-1395 | 2012-07-15 |
| Find all providers with the same taxonomy | ||||
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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.