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).
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 |
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 |
Street Address |
1118 ROSS CLARK CIR |
City | DOTHAN |
State | AL |
Zip Code | 36301-3001 |
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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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 Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(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. |
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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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.