Russell D. Deidiker, MD
Anatomic Pathology & Clinical Pathology Physician · Farmington, MO
Russell D. Deidiker, MD is an anatomic pathology & clinical pathology physician with a practice address in Farmington, Missouri, and NPI 1841265345, issued on Feb 20, 2006. Check the license (Missouri 113238, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.
- Name
- Russell D. Deidiker
- Credential
- MD
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License number
- 113238 MO
Self-reported in NPPES; status is on the state search - Practice location
- 1212 Weber RD, Farmington, MO 63640
- Phone
- (573) 756-4581
- Enumerated
- Feb 20, 2006
- Record last updated
- Jul 13, 2026
- Fax
- (573) 756-7197
- Medicaid ID
- 208729707 MO
- Medicare enrollment
- Enrolled (PECOS I20100901000907); accepts Medicare assignment
- Medical or professional school
- University Of Tennessee, Hsc, College Of Medicine, 1991
- Entity
- Type 1 · individual
Also registered at 1212 Weber RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Barbara Anderson, RN, CRNACertified Registered Nurse Anesthetist1093760688
- Kelly Beaver, NPNurse Practitioner1760790786
- James Christopher, PTAPhysical Therapy Assistant1619038759
- Kimberly Combs, NPNurse Practitioner1477859213
- Mary Dahmm, NPNurse Practitioner1962762575
- Dwayne Damba, DOFamily Medicine Physician1194777193
Verify Russell D. Deidiker in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
Search for license 113238Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Mid-America Pathology Consultants, LLCFarmington, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Anatomic Pathology & Clinical Pathology Physician providers in Missouri
There are 348 anatomic pathology & clinical pathology physician records in Missouri.
Other anatomic pathology & clinical pathology physician records in Missouri
- Heba Abdelal, MDSaint Louis, MO1033633383
- Eman Abdelgadir, MBBSSaint Louis, MO1750270575
- Edward Adelstein, M.D.Columbia, MO1790796142
- Ashima Agarwal, M.D.Saint Louis, MO1114171915
- Parveen Ahmed, MDSaint Louis, MO1780728337
- Olaronke Akintola-Ogunremi, M.D.Saint Louis, MO1578545612
- Kathrina Alexander, MDJoplin, MO1053520106
- Erum AlhumoodSaint Louis, MO1376907824
- Mithulya Amboo Mahentheran, MDKansas City, MO1912880352
- Timothy Amukele, MDSaint Louis, MO1871503276
Common questions
What is Russell D. Deidiker, MD's NPI number?
Russell D. Deidiker, MD's National Provider Identifier (NPI) is 1841265345, issued on Feb 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Russell D. Deidiker, MD located?
The NPPES record lists a practice address at 1212 Weber RD, Farmington, MO, 63640. Phone: (573) 756-4581. Providers update this record themselves, so call before visiting.
How can I verify Russell D. Deidiker, MD's license?
NPPES lists Missouri license number 113238, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.