SOUTHERN CARDIOVASCULAR CARE, PC (NPI# 1003247842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003247842 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CARDIOVASCULAR CARE, PC |
| Practice Address |
1800 Fairview Ave Ste 1 Dothan AL 36301-3059 |
| Practice Telephone | 3346998900 |
| Practice Fax Number | 3346997498 |
| Mailing Telephone | 3346998900 |
| Mailing Fax Number | 3346997498 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |
| Authorized Official Name | DR. SRINIVASA R CHENNAREDDY (PHYSICIAN) |
| Authorized Official Telephone | 3346998900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 29602 | AL | Other Service Providers |
| Street Address |
1800 FAIRVIEW AVE STE 1 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1578713186 | Laura Brumfield-collier | Specialist | 103 Wembley Ct, Dothan, AL 36305-6355 | 2008-09-19 |
| 1891862041 | Julianne Louise Wright | Specialist | 2323 W Main St, Suite 107, Dothan, AL 36301-1292 | 2006-11-30 |
| 1306913553 | Joseph Henry Bateman | Specialist | 430 W. Main St., Suite 1, Dothan, AL 36301 | 2006-11-30 |
| 1922030360 | Neuro-eval, P.C. | Specialist | 105 N Pontiac Ave, Suite 1, Dothan, AL 36303-3959 | 2006-07-07 |
| 1518912351 | Womens Healthcare of Dothan PC | Specialist | 4300 W. Main, Suite 31, Dothan, AL 36305 | 2006-05-23 |
| 1255393187 | Steven D Harris | Specialist | 102 Doctors Dr, Dothan, AL 36301-2911 | 2006-04-05 |
| 1760444608 | Joe Frank Smith | Specialist | 4300 W Main St Ste 403, Dothan, AL 36305-1314 | 2006-04-05 |
| 1689636086 | Frederick Kent Nunnally | Specialist | 112 Haven Dr, Suite 1, Dothan, AL 36301-2907 | 2006-04-03 |
| 1215913025 | Kenneth Leonard Todd IIi | Specialist | 3280 Ross Clark Cir, Dothan, AL 36303-3040 | 2005-12-22 |
| Find all providers in DOTHAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.