Provider Demographics
NPI:1417900473
Name:PAHR, DEAN C (DO)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:C
Last Name:PAHR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9485 MENTOR AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-8723
Mailing Address - Country:US
Mailing Address - Phone:440-205-5799
Mailing Address - Fax:440-205-5798
Practice Address - Street 1:9485 MENTOR AVE STE 200
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060
Practice Address - Country:US
Practice Address - Phone:440-205-5799
Practice Address - Fax:440-205-5798
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-005390P207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0981488Medicaid
F83387Medicare UPIN
OH0764214Medicare ID - Type Unspecified