DR. GARY D DEAN (NPI# 1386739092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386739092 |
| Entity Type | Individual |
| Full Name | DR. GARY D DEAN |
| Credential | M.D. |
| Practice Address |
105 Ridgehaven Dr Vestal NY 13850-2640 |
| Mailing Address |
3101 Shippers Rd Ste 203 Vestal NY 13850-2082 |
| Practice Telephone | 6077864822 |
| Practice Fax Number | 6077863837 |
| Mailing Telephone | 6077864822 |
| Mailing Fax Number | 6077863837 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 151253 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00862859 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286271 | Gary Dean | Pharmacist | 1450 E. Geneva St., Delavan, WI 53115-4201 | 2013-11-15 |
| Street Address |
105 RIDGEHAVEN DR |
| City | VESTAL |
| State | NY |
| Zip Code | 13850-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780036467 | Connor Fitzpatrick | Pediatrics | 105 Ridgehaven Dr, Vestal, NY 13850-2640 | 2016-07-06 |
| 1750510848 | John C Welch Jr. | Family Medicine | 105 Ridgehaven Dr, Vestal, NY 13850-2640 | 2009-07-09 |
| 1710047204 | Steven A. Malkin | Family Medicine | 105 Ridgehaven Dr, Vestal, NY 13850-2640 | 2006-12-12 |
| 1184795981 | Maria Sy-vinluan | Family Medicine | 105 Ridgehaven Dr, Vestal, NY 13850-2640 | 2006-11-13 |
| 1316018005 | Kazimieras A Snieska | Family Medicine | 105 Ridgehaven Dr, Vestal, NY 13850-2640 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018800 | Debbie Sue Maerz | Registered Nurse | Vestal Hills Elementary School, 709 Country Club Road, Vestal, NY 13850 | 2019-11-22 |
| 1770144511 | Janice Cecilia Forsberg | Registered Nurse | Clayton Avenue Elementary School, 209 Clayton Avenue, Vestal, NY 13850 | 2019-06-24 |
| 1922514447 | Christopher Lopez | Optometrist | 132 S Jensen Rd, Vestal, NY 13850 | 2017-12-20 |
| 1720503725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3701 Vestal Pkwy E Ste 4, Vestal, NY 13850 | 2017-08-10 |
| 1013368554 | Ying Fang Zhao | Nurse Practitioner | 404 Apine Drive, Vestal, NY 13850 | 2016-06-27 |
| 1689086308 | Jeff Farinella | Physical Therapist | 1715 Castle Gardes Road, Vestal, NY 13850 | 2014-05-29 |
| 1548689722 | Hamad Saleemi | Physical Medicine & Rehabilitation | 4433 Vestal Pkwy E Fl 1, Vestal, NY 13850 | 2014-04-15 |
| 1518230325 | Sahar F Mahmoud | Optometrist | 3900 Vestal Parkway East, Vestal, NY 13850 | 2012-02-10 |
| 1316221393 | Sharyn Marie Fine | Occupational Therapist | 337 Jones Road, Vestal, NY 13850 | 2011-10-07 |
| 1144504218 | Catherine Ann Willis | Speech-Language Pathologist | 709 Country Club Rd, Vestal, NY 13850 | 2011-10-06 |
| Find all providers in zip 13850 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225564594 | Nasiha Kulsum | Family Medicine | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2017-05-05 |
| 1598111825 | Nina Millet | Family Medicine | 4417 Vestal Pkwy E, Vestal, NY 13850 | 2016-05-05 |
| 1750510848 | John C Welch Jr. | Family Medicine | 105 Ridgehaven Dr, Vestal, NY 13850-2640 | 2009-07-09 |
| 1134358203 | Maria Theresa Bertini | Family Medicine | 4417 Vestal Parkway East, Vestal, NY 13850-3556 | 2009-07-09 |
| 1043449127 | Elizabeth A Rosato | Family Medicine | 4417 Vestal Parkway East, Vestal, NY 13850-3556 | 2009-07-09 |
| 1710047204 | Steven A. Malkin | Family Medicine | 105 Ridgehaven Dr, Vestal, NY 13850-2640 | 2006-12-12 |
| 1184795981 | Maria Sy-vinluan | Family Medicine | 105 Ridgehaven Dr, Vestal, NY 13850-2640 | 2006-11-13 |
| 1316018005 | Kazimieras A Snieska | Family Medicine | 105 Ridgehaven Dr, Vestal, NY 13850-2640 | 2006-11-13 |
| 1114004371 | Michael F. Hayes | Family Medicine | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2006-11-01 |
| 1588764484 | Mike Joon Choi | Family Medicine | 2517 Vestal Pkwy E, Vestal, NY 13850-2020 | 2006-09-22 |
| Find all providers in VESTAL | ||||
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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.