Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Russell D Deidiker, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1841265345

Dr. Russell D Deidiker, MD is a Pathology in Farmington, Missouri. Graduated from University of Tennessee, Hsc, College of Medicine in 1991, 35 years ago. Practices with Mid-America Pathology Consultants, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
35
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1212 Weber Rd Ste 205
Farmington, MO 63640-3325
Phone: (573) 756-4581
Fax: (573) 756-7197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 113238 (MO)

Record details

NPI number1841265345
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Mid-America Pathology Consultants, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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