Samuel Gray Deem is a Urology in Charleston, . Samuel Gray Deem practices all healthcare services and medical treatments related to Urology. The NPI Number for Samuel Gray Deem is 1700909702. The last update date is 2015-12-14.
Samuel Gray Deem's current location address is 3100 Maccorkle Ave Se Ste 602, Charleston, . You can contact this provider via phone number 3043885280 and fax number 3043885291. The mailing address for Samuel Gray Deem is 3100 Maccorkle Ave Se Ste 602, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Gray Deem |
|---|---|
| Address | 3100 Maccorkle Ave Se Ste 602, Charleston, |
| Phone Number | 3043885280 |
| Fax Number | 3043885291 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1700909702 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2015-12-14 |
Provider Mailing Address Detail
| Address | 3100 Maccorkle Ave Se Ste 602 |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 25304 |
| Phone Number | 3043885280 |
| Fax Number | 3043885291 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 2176 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01087428 | WV | RAILROAD MEDICARE | |
| 3810010649 | WV | -- |
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What is the unique identification code assigned to Samuel Gray Deem by the Centers for Medicare & Medicaid Services?
The Samuel Gray Deem has been issued the NPI (National Provider Identifier) 1700909702. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Samuel Gray Deem located?
The Samuel Gray Deem is located at 3100 Maccorkle Ave Se Ste 602, Charleston, WV 25304.
What is Samuel Gray Deem's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Samuel Gray Deem's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
On what date did the Samuel Gray Deem receive its 1700909702 assignment from the Centers for Medicare & Medicaid Services?
The Samuel Gray Deem was assigned its 1700909702 by the Centers for Medicare & Medicaid Services on 2007-04-06.
As of what date were the Samuel Gray Deem's details last updated?
The information pertaining to the Samuel Gray Deem, including its address, specialty, and other details, was most recently updated on 2015-12-14.