Provider Demographics
NPI:1124043351
Name:DEERING, JOSEPH ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ARTHUR
Last Name:DEERING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1649 HIGHWAY 22 W
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-4413
Mailing Address - Country:US
Mailing Address - Phone:256-215-5323
Mailing Address - Fax:256-215-5324
Practice Address - Street 1:1649 HIGHWAY 22 W
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-4413
Practice Address - Country:US
Practice Address - Phone:256-215-5323
Practice Address - Fax:256-215-5324
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00026621207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009911433Medicaid
AL009911434Medicaid
AL009911437Medicaid
AL051542255OtherBCBS PROVIDER NUMBER
AL130871Medicaid
AL009911432Medicaid
AK009911444Medicaid
AL051542245OtherBCBS PROVIDER NUMBER
AL051542251OtherBCBS PROVIDER NUMBER
AL051542253OtherBCBS PROVIDER NUMBER
AL1124043351OtherNPI
AL130875Medicaid
AL51118269OtherBCBS
AL009911436Medicaid
AL009911439Medicaid
AL051542257OtherBCBS PROVIDER NUMBER
AL130874Medicaid
AL51118264OtherBCBS
AL051542252OtherBCBS PROVIDER NUMBER
AL130873Medicaid
AL130877Medicaid
AL130879Medicaid
AL51118272OtherBCBS
AL009911431Medicaid
AL009911441Medicaid
AL130878Medicaid
AL51118268OtherBCBS
AL51118270OtherBCBS
AL51118547OtherBCBS
AL009911442Medicaid
AL009911438Medicaid
AL051542244OtherBCBS PROVIDER NUMBER
AL51118265OtherBCBS
AL51118267OtherBCBS
AK009911444Medicaid
AL009911441Medicaid