Provider Demographics
NPI:1437200482
Name:DEER, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:DEER
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 1:16630 S COUNTRY CLUB CT
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF LOCH LLOYD
Mailing Address - State:MO
Mailing Address - Zip Code:64012-3376
Mailing Address - Country:US
Mailing Address - Phone:816-425-4931
Mailing Address - Fax:
Practice Address - Street 1:330 ARKANSAS ST
Practice Address - Street 2:SUITE 120
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1335
Practice Address - Country:US
Practice Address - Phone:785-749-3600
Practice Address - Fax:785-749-3621
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-14419174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS060604OtherBSKS
KS100202800AMedicaid
2450136OtherUHC
10765OtherCOVENTRY
KS10098026OtherBSKC
10098026OtherPHP
300016981OtherMEDICARE RAILROAD
CIGNAOther025
10001646800OtherCOMMUNITY HEALTH PLAN
85489OtherAETNA
A001OtherTRI-CARE CHAMPUS
10098026OtherPHP
CIGNAOther025