Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL GRAY DEEM, DO
ActiveSAMUEL GRAY DEEM, DO is a Urology healthcare provider located in CHARLESTON, West Virginia. NPI 1700909702 is currently active in the NPPES registry. Verify at CMS.
Urology · CHARLESTON, WV
Registration Details
- NPI Number
- 1700909702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2007 (19.170189660598 yrs)
- Last Updated
- Dec 1, 2025
- License
-
2176 (WV)
Practice Information
- Address
-
3100 MACCORKLE AVE SESUITE 602CHARLESTON, WV, 253041223Browse WV providers · Browse ZIP 25304
- Phone
- 3043885120
- Fax
- 3043885125
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| RODNEY D. DEAN | MD | 1093702318 |
| RYAN H. FITZWATER | D.O. | 1770524977 |
| JAMES P. TIERNEY | DO | 1205920261 |
| ROSS SAMUEL OLIVER JR. | M.D. | 1053497453 |
| BASHIR R. SANKARI | M.D. | 1588722102 |
| SHOZO KURUSU | MD | 1649496571 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.