Provider Demographics
NPI:1477661478
Name:HESTER, JOSEPH DEAN (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DEAN
Last Name:HESTER
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 1:1100 REID PKWY
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-983-3127
Mailing Address - Fax:765-983-3219
Practice Address - Street 1:1350 CHESTER BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1907
Practice Address - Country:US
Practice Address - Phone:765-935-8914
Practice Address - Fax:765-983-8915
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01051908207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000083079OtherBCBS
IN000000606876OtherANTHEM
OH0072863Medicaid
IN110201174OtherRAILROAD MEDICARE
IN200242520Medicaid
OH0072863Medicaid
IN000000083079OtherBCBS
OH2154298Medicaid