MARY K DEAN (NPI# 1407266745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407266745 |
| Entity Type | Individual |
| Full Name | MARY K DEAN |
| Credential | M.D. |
| Practice Address |
1400 Pin Oak Dr Carterville IL 62918-1600 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 6189853333 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
S6821 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036.149573 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2727 W Holcombe Blvd, Houston, TX 770251669 | 7134420000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215393475 | Mary Hope Dean | Social Worker | 2232 Carleton Street, #5, Berkeley, CA 94704-3225 | 2016-01-04 |
| 1154572857 | Mary Sharee Dean | Nurse Practitioner | 555 Forrest Ave, Clifton, TN 38425-5412 | 2008-10-01 |
| 1407022080 | Mary Dean | Occupational Therapist | 5519 Sunlight Drive #301, Durham, NC 27707 | 2008-05-05 |
| 1255546883 | Mary Shannon Dean | Registered Nurse | 1926 E Camelback Rd, Apt 627, Phoenix, AZ 85016-4120 | 2007-05-14 |
| 1841335270 | Mary J Dean | Counselor | 100 Professional Place, Suite 302, Carrollton, GA 30117 | 2007-02-21 |
| 1154474526 | Mary Ellen Dean | Specialist | I Columbia St., Poughkeepsie, NY 12601 | 2007-01-19 |
| 1295757409 | Mary Denise Dean | Pharmacist | 416 Howland Dr, Gahanna, OH 43230-3601 | 2006-07-24 |
| 1386996932 | Mary M Dean | Social Worker | 333 South Main Street, Opelousas, LA 70570 | 2012-10-05 |
| 1326306028 | Mary Joanna Dean | Social Worker | 3717 Taylorsville Rd, 1st Floor, Louisville, KY 40220-1333 | 2012-05-01 |
| 1285991281 | Mary Christine Dean | Pharmacist | 2351 S Townsend Ave, Montrose, CO 81401-5438 | 2012-04-13 |
| Street Address |
1400 PIN OAK DR |
| City | CARTERVILLE |
| State | IL |
| Zip Code | 62918-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801830534 | Sami Atassi | Internal Medicine | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2006-06-15 |
| 1962975706 | Emily Taylor | Nurse Practitioner | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2019-01-04 |
| 1821528621 | Paula Pierce-savoie | Physician Assistant | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2017-06-14 |
| 1013362227 | Kristin Francis | Social Worker | 1400 Pin Oak Dr, Carterville, IL 62918 | 2016-04-26 |
| 1407288996 | Bachir Berbari | Internal Medicine | 1400 Pin Oak Dr, Carterville, IL 62918 | 2013-08-06 |
| 1093070302 | Hammad Shafqat | Internal Medicine | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2012-07-12 |
| 1386907681 | Georges Elie Tanios | Internal Medicine | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2012-06-21 |
| 1285884841 | Jaime Ignacio Navarrete Faubla | Internal Medicine | 1400 Pin Oak Dr, Carterville, IL 62918 | 2008-09-19 |
| 1760605372 | Suven Shankar | Surgery | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2007-04-11 |
| 1447318050 | Southern Illinois Radiation Oncology LLC | Radiology | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670298 | Sherrie Ann Harlow | Social Worker | 117 Jeremy Drive, Caterville, IL 62918 | 2020-05-14 |
| 1457879330 | Alex M Witcher | Registered Nurse | 307 Pennsylvania Ave, Carterville, IL 62918 | 2017-08-31 |
| 1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
| 1063895365 | Alexander J Ashby | Chiropractor | 1027 South Division Street, Carterville, IL 62918 | 2015-07-06 |
| 1902245095 | The H Group Bbt | Community/Behavioral Health | 403 Commerce Drive, Carterville, IL 62918 | 2013-06-21 |
| 1831311224 | Dental Professionals of Illinois, P.C. | Dentist | 809 South Division, Carterville, IL 62918 | 2007-05-03 |
| 1306067657 | Irene E. Knight | Speech-Language Pathologist | 122 Jeremy Drive, Carterville, IL 62918 | 2007-05-02 |
| 1104987940 | Solutions Counseling & Education Inc | Counselor | 209 W Commercial Dr, Suite H, Carterville, IL 62918 | 2006-12-13 |
| 1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
| 1700373438 | Laboratory Corporation of America | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918 | 2018-04-18 |
| Find all providers in zip 62918 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093915902 | Michael Little | Radiology | 1300 Pin Oak Dr, Carterville, IL 62918-1665 | 2007-07-19 |
| 1720033046 | Siloam LLC | Radiology | 10286 Fleming Rd, Carterville, IL 62918-3351 | 2006-05-24 |
| 1447318050 | Southern Illinois Radiation Oncology LLC | Radiology | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2006-12-05 |
| 1801835913 | Jack T Sandford | Radiology | 10286 Fleming Rd, Carterville, IL 62918-3351 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690185 | Illinois Radiation Oncology Consultants Pllc | Radiology | 208 Flax Dr Ste 100, Highland, IL 62249-1396 | 2020-05-07 |
| 1770070609 | Brian Chou | Radiology | 2160 S 1st Ave Rm 2944, Maywood, IL 60153-3328 | 2018-04-17 |
| 1932606654 | Amishi Bajaj | Radiology | 2011 Midwest Club Pkwy, Oak Brook, IL 60523-2526 | 2018-04-09 |
| 1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
| 1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
| 1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
| 1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
| 1508267220 | Vantage Cancer Care - Illinois, S.c. | Radiology | 17750 South Kedzie Avenue, Hazel Crest, IL 60429-2047 | 2014-09-12 |
| 1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
| 1083047146 | Yoon Tae Kim | Radiology | 1025 Sunset Rd, Winnetka, IL 60093-3622 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
| City | CARTERVILLE |
| Zip Code | 62918 |
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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.