MR. PHILLIP TYLER STANLEY


Address: 1118 Ross Clark Cir, Dothan, AL 36301-3001
Phone: 3347938111

MR. PHILLIP TYLER STANLEY (NPI# 1104362177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104362177
Entity Type Individual
Full Name MR. PHILLIP TYLER STANLEY
Credential C.R.N.A.
Practice Address 1118 Ross Clark Cir
Dothan
AL 36301-3001
Mailing Address 1600 Keating Rd
Dothan
AL 36303-2702
Practice Telephone 3347938111
Mailing Telephone 3347018240
Enumeration Date 2017-01-13
Last Update Date 2017-01-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 1-126879 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1118 ROSS CLARK CIR
City DOTHAN
State AL
Zip Code 36301-3001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730184912 Jonathan L. Skinner Surgery 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3002 2005-06-15
1306214390 Kyndal Saunders Nurse Practitioner 1118 Ross Clark Cir, Suite #100, Dothan, AL 36301-3001 2015-09-08
1427430974 Keston Trammell Nurse Practitioner 1118 Ross Clark Cir, #100, Dothan, AL 36301-3001 2015-06-22
1033596515 Premier Cardiology Consultants Inc Internal Medicine 1118 Ross Clark Cir, Ste 704, Dothan, AL 36301-3001 2015-05-04
1962890178 Dothan Internal Medicine, LLC Specialist 1118 Ross Clark Cir, Suite 105, Dothan, AL 36301-3001 2014-12-23
1083033286 John Evans Jr. Nurse Practitioner 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 2014-04-15
1639591423 Marla Hodge Nurse Practitioner 1118 Ross Clark Cir, Suite 403, Dothan, AL 36301-3001 2014-01-13
1437583598 Primary Care Consultants, PC Family Medicine 1118 Ross Clark Cir, Ste 310, Dothan, AL 36301-3001 2013-08-26
1609200922 Alexis Fowler Wood Nurse Practitioner 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3001 2013-08-22
1528340536 Jonathan L Skinner LLC Surgery 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3001 2011-09-15
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073663589 William G Smith Jr. Nurse Anesthetist, Certified Registered 103 Nottoway Blvd, Dothan, AL 36303-2979 2007-01-10
1720026891 Linda S. Brock Nurse Anesthetist, Certified Registered 36 Hampton Way, Dothan, AL 36305-6319 2006-06-02
1801875620 James A Kennedy Nurse Anesthetist, Certified Registered 2802 Ross Clark Circle, Dothan, AL 36301 2006-01-11
1861471732 Alice M Hickey Nurse Anesthetist, Certified Registered 1450 Ross Clark Circle, Dothan, AL 36301 2006-01-10
1871114090 Hillary Ryan Mclemore Nurse Anesthetist, Certified Registered 4370 W Main St, Dothan, AL 36305-4000 2020-04-28
1659990901 Robert Dale Garrett Nurse Anesthetist, Certified Registered 1108 Ross Clark Cir, Dothan, AL 36301-3022 2020-04-15
1972076859 Tillman Hall Nurse Anesthetist, Certified Registered 4370 W Main St, Dothan, AL 36305-1056 2019-01-03
1023525169 Michael Aaron Allen Nurse Anesthetist, Certified Registered 4370 W Main St, Dothan, AL 36305-1056 2018-01-09
1508373143 Derek Austin Dean Nurse Anesthetist, Certified Registered 4370 W Main St, Dothan, AL 36305-1056 2018-01-04
1790201903 Gut PC Nurse Anesthetist, Certified Registered 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 2017-08-18
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Competitor

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City DOTHAN
Zip Code 36301

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Dataset Information

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.

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