MR. PHILLIP A DEAN (NPI# 1972584936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972584936 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP A DEAN |
| Credential | M.D., |
| Practice Address |
4011 Talbot Rd S Ste 420 Renton WA 98055-5791 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Attn Credentialing Renton WA 98057-4970 |
| Practice Telephone | 4256903401 |
| Practice Fax Number | 4256909401 |
| Mailing Telephone | 4256902715 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MD60513550 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE W VALLEY MEDICAL GROUP - RENTON | G8936797 | 01 |
| WA | 2041674 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245464114 | Phillip Jordan Dean | Internal Medicine | 1100 S Jackson Hwy, Suite 104, Sheffield, AL 35660-5769 | 2009-05-07 |
| 1477511418 | Phillip L. Dean | Family Medicine | 1771 Commercial St, Warsaw, MO 65355-3096 | 2006-05-01 |
| Street Address |
4011 TALBOT RD S STE 420 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144886219 | Abbey Sattler | Physician Assistant | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2019-05-14 |
| 1639646128 | Samantha Rachelle Halela | Physician Assistant | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2018-11-01 |
| 1942681523 | Kuldeep Kaur | Registered Nurse | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2015-06-09 |
| 1073799615 | Valley Surgical Associates, P.s. | Surgery | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2008-01-14 |
| 1285618314 | Cheuk Young Hong | Surgery | 4011 Talbot Rd S Ste 420, Renton, WA 98055 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619049616 | James C.s. Colquhoun | Colon & Rectal Surgery | 5515 S Custer Rd, Spokane, WA 99223-1628 | 2006-11-14 |
| 1053332098 | Mitra Ehsan | Colon & Rectal Surgery | 1231 116th Ave Ne Ste 535, Bellevue, WA 98004-3804 | 2006-07-23 |
| 1740226570 | Joshua Eric Levin | Colon & Rectal Surgery | 3124 S 19th St Ste 220, Tacoma, WA 98405-2433 | 2006-06-21 |
| 1578528519 | Richard Parker Billingham | Colon & Rectal Surgery | 1101 Madison St Ste 500, Seattle, WA 98104-3557 | 2006-04-20 |
| 1235524703 | Crystal Pickeral Koerner | Colon & Rectal Surgery | 1101 Madison St Ste 500, Seattle, WA 98104-3557 | 2015-04-01 |
| 1598054355 | Ulrik Georg Wallin | Colon & Rectal Surgery | 1145 Broadway, Seattle, WA 98122-4201 | 2011-04-01 |
| 1073839965 | Laila Rashidi | Colon & Rectal Surgery | 3124 S 19th St Ste C220, Tacoma, WA 98405-2481 | 2010-04-16 |
| 1245566348 | Kitsap Colorectal Surgery Inc Ps | Colon & Rectal Surgery | 2528 Wheaton Way, Suite 103, Bremerton, WA 98310-3305 | 2009-10-23 |
| 1699918169 | Ian R White | Colon & Rectal Surgery | 1135-116th Avenue Ne, Suite 550, Bellevue, WA 98004 | 2009-04-14 |
| 1588828859 | Andrew Todd Schlussel | Colon & Rectal Surgery | 9040 Jackson Ave, Madigan Army Medical Center, Department of Surgery, Tacoma, WA 98433 | 2008-07-15 |
| 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.