MARC MERRICK DEAN (NPI# 1821092669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821092669 |
| Entity Type | Individual |
| Full Name | MARC MERRICK DEAN |
| Credential | MD |
| Practice Address |
330 Turner Mccall Blvd Sw Rome GA 30165-5630 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7062911754 |
| Practice Fax Number | 7062912227 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 057359 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 717817640A | 05 | |
| GA | AETNA | 5106222 | 01 |
| GA | BLUE CROSS BLUE SHIELD GA | 52161939-003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730381310 | Marc Richard Dean | Otolaryngology | 901 Hemphill St., Fort Worth, TX 76104-3111 | 2007-06-05 |
| 1497061220 | Marc A Dean | Nurse Anesthetist, Certified Registered | 703 N Mcewan St, Clare, MI 48617-1440 | 2010-08-31 |
| Street Address |
330 TURNER MCCALL BLVD SW |
| City | ROME |
| State | GA |
| Zip Code | 30165-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548805401 | Mallory Elizabeth Osborne | Physician Assistant | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2019-11-14 |
| 1932756160 | Coretta Diane Stevenson | Licensed Practical Nurse | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2019-08-22 |
| 1164965141 | Steven Gunter | Nurse Practitioner | 330 Turner Mccall Blvd Sw, Suite 201, Rome, GA 30165-5630 | 2016-11-23 |
| 1518417641 | Lara Lynn Ranie | Nurse Practitioner | 330 Turner Mccall Blvd Sw, Rome, GA 30165 | 2016-10-13 |
| 1669896940 | Natalie Ann Perkins | Nurse Practitioner | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2014-02-07 |
| 1225450729 | Shawanda Latrece Marshall | Nurse Practitioner | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2014-01-17 |
| 1093141145 | Blair Alan Leavitt | Physician Assistant | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2013-09-20 |
| 1003173139 | Donna Marie Bonk | Nurse Practitioner | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2012-04-13 |
| 1073896080 | Julie L Holyoak | Nurse Practitioner | 330 Turner Mccall Blvd Sw, Suite 104, Rome, GA 30165-5630 | 2011-09-26 |
| 1679851554 | Karla Blythe Crabbe | Nurse Practitioner | 330 Turner Mccall Blvd Sw, Suite 104, Rome, GA 30165-5630 | 2011-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033403787 | Ijeoma Ibezue | Obstetrics & Gynecology | 1608 Martha Berry Neblvd, Rome, GA 30165-1622 | 2011-05-29 |
| 1134244189 | Luigi Donfrancesco | Obstetrics & Gynecology | 44 Lungotevere Mellini, Studio Pignanelli, Rome, RM 00193 | 2007-03-20 |
| 1568522829 | John Tollison Collins | Obstetrics & Gynecology | 316 W 10th St Ne, Rome, GA 30165-2639 | 2006-12-09 |
| 1417047457 | Nancy S Peek | Obstetrics & Gynecology | 8080 Turin Rd, Rome, NY 13440-1910 | 2006-10-13 |
| 1356444160 | Lauren Ann Giustra | Obstetrics & Gynecology | 107 East Chestnut Street, Rome, NY 13440 | 2006-09-07 |
| 1710080593 | Ankur Desai | Obstetrics & Gynecology | 107 East Chestnut St, Rome, NY 13440 | 2006-09-06 |
| 1710098942 | Leigh Saunders Barrell | Obstetrics & Gynecology | 1608 Martha Berry Blvd Ne, Rome, GA 30165-1622 | 2006-08-31 |
| 1710993845 | Diana Renee Wallace | Obstetrics & Gynecology | 7900 Turin Road, Building 4, Suite 2, Rome, NY 13440-7423 | 2006-07-31 |
| 1205219813 | Courtney Nicole Pineau | Obstetrics & Gynecology | 7900 Turin Rd, Building 4, Suite 2, Rome, NY 13440 | 2015-06-30 |
| 1669863379 | Rome Medical Practice | Obstetrics & Gynecology | 7900 Turin Rd, Building 4, Suite 2, Rome, NY 13440-1900 | 2015-02-17 |
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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.