DOTHAN SURGERY CENTER, LLC (NPI# 1003815242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003815242 |
Entity Type | Organization |
Organization Name | DOTHAN SURGERY CENTER, LLC |
Other Organization Name | DOTHAN SURGERY CENTER |
Practice Address |
1450 Ross Clark Cir Suite 4 Dothan AL 36301-4736 |
Practice Telephone | 3347933442 |
Practice Fax Number | 3347933318 |
Mailing Telephone | 3347933442 |
Mailing Fax Number | 3347933318 |
Enumeration Date | 2005-07-19 |
Last Update Date | 2007-07-27 |
Authorized Official Name | MRS. DENISE DAVIS HARRINGTON (ADMINISTRATOR) |
Authorized Official Telephone | 3347933442 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10431 | AL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | ASC0066C | 05 |
Other Name | Type Code |
---|---|
Dothan Surgery Center | Doing Business As Name - Organization |
Street Address |
1450 ROSS CLARK CIR SUITE 4 |
City | DOTHAN |
State | AL |
Zip Code | 36301-4736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306205497 | Houston County Healthcare Authority | Social Worker | 1450 Ross Clark Cir, Suite 400a, Dothan, AL 36301-4765 | 2016-02-17 |
1649637273 | Houston County Healthcare Authority | Counselor | 1450 Ross Clark Cir, Suite 400b, Dothan, AL 36301-4765 | 2016-01-27 |
1093088908 | Relationship Builders, Inc. | Marriage & Family Therapist | 1450 Ross Clark Cir, Suite 3, Dothan, AL 36301-4765 | 2012-02-23 |
1740553643 | Counseling Services of Dothan | Counselor | 1450 Ross Clark Cir, Suite 3, Dothan, AL 36301-4765 | 2012-02-23 |
1447521117 | Hannah R Reid | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Cir, Dothan, AL 36301-4765 | 2012-01-26 |
1710256334 | Brittany A Outlaw | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Cir, Dothan, AL 36301-4765 | 2011-12-28 |
1073899886 | Rachel M Webb | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Cir, Dothan, AL 36301-4765 | 2011-10-25 |
1598059065 | Marsha Nor Pascual Mansell | Nurse Practitioner | 1450 Ross Clark Cir, Suite 400, Dothan, AL 36301-4765 | 2011-06-02 |
1497052591 | Michael Griffin PC | Technician/Technologist | 1450 Ross Clark Cir, Suite 400, Dothan, AL 36301-4765 | 2011-02-25 |
1003070285 | Ross Clark Circle Dialysis LLC | Clinic/Center | 1450 Ross Clark Cir, Ste 200, Dothan, AL 36301-4770 | 2008-07-16 |
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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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1306320338 | Alabama Eye Surgery Center LLC | Clinic/Center | 5937 W Main St, Dothan, AL 36305-9317 | 2018-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
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1962057497 | Clearway Surgery Center of Mobile | Clinic/Center | 855 Downtowner Blvd Ste A, Mobile, AL 36609-5403 | 2019-08-01 |
1225698681 | Affinity Gastroenterology Asc LLC | Clinic/Center | 3686 Grandview Pkwy Ste 610, Birmingham, AL 35243-3406 | 2019-06-18 |
1669031886 | Surgical Clinic Solutions, LLC | Clinic/Center | 1021 Montgomery Hwy, Vestavia Hills, AL 35216-2805 | 2019-06-11 |
1508360181 | Nephrology Vascular Lab of Central Alabama Asc LLC | Clinic/Center | 1280 Columbiana Rd Ste 120, Vestavia Hills, AL 35216-1642 | 2018-03-20 |
1699139915 | Cutaneous Oncology & Surgery Center, LLC | Clinic/Center | 1940 Stonegate Dr Ste 140, Vestavia Hls, AL 35242-2541 | 2016-04-12 |
1104202613 | Invision Ophthalmology P.C. | Clinic/Center | 1800 Mcfarland Blvd E Ste 337, Tuscaloosa, AL 35404-5882 | 2015-08-06 |
1407298920 | Vein & Cosmetic Center of Prattville, LLC | Clinic/Center | 509 Pinnacle Pl, Prattville, AL 36066-6544 | 2013-07-25 |
1972805299 | St. Vincent's Outpatient Surgery Services LLC | Clinic/Center | 810 Saint Vincent's Drive, Birmingham, AL 35205-1601 | 2010-11-18 |
1730318353 | Gardendale Surgical Associates, LLC | Clinic/Center | 2213 Decatur Highway, Gardendale, AL 35071-2301 | 2009-07-02 |
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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.