DERON SHARPE


Address: 5565 Montgomery Hwy, Dothan, AL 36303-1552
Phone: 3346993733

DERON SHARPE (NPI# 1104913235) 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) 1104913235
Entity Type Individual
Full Name DERON SHARPE
Credential M.D.
Practice Address 5565 Montgomery Hwy
Dothan
AL 36303-1552
Mailing Address 126 Clinic Dr
Dothan
AL 36303-1980
Practice Telephone 3346993733
Practice Fax Number 3345003007
Mailing Telephone 3347931881
Mailing Fax Number 3343405918
Enumeration Date 2006-10-09
Last Update Date 2020-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
33744 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 165797 05
GA 003152661A 05
AL BC/BS 511-54132 01
FL 013602700 05

Office Location

Street Address 5565 MONTGOMERY HWY
City DOTHAN
State AL
Zip Code 36303-1552

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518915305 David J Lozano Pediatrics 5565 Montgomery Hwy, Dothan, AL 36303-1552 2006-05-04
1750729737 Heather Mckenzie Choat Pediatrics 5565 Montgomery Hwy, Dothan, AL 36303-1552 2013-06-12
1467774646 Jennifer Muraski Nurse Practitioner 5565 Montgomery Hwy, Dothan, AL 36303-1552 2010-02-16
1730323254 Jacob Edwards Pediatrics 5565 Montgomery Hwy, Dothan, AL 36303-1552 2009-04-28
1134269848 Meredith Cheryl Hitch Pediatrics 5565 Montgomery Hwy, Dothan, AL 36303-1552 2007-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194205740 Emblom & Vaughn, D.m.d., PC Dentist 318 Healthwest Dr., Dothan, AL 36303 2018-08-14
1164887907 Bio-medical Applications of Alabama, Inc. Clinic/Center 118 Obrannan Park Drive, Dothan, AL 36303 2015-12-21
1245634245 Api Counseling, LLC Community/Behavioral Health 1583 Montgomery Highway, Dothan, AL 36303 2014-10-20
1467792382 Bolanle Boladale Akinduro Home Health 107 Hidden Glen Way, Dothan, AL 36303 2013-03-01
1104162114 Al Dental PC Dentist 3400 Montgomery Highway, Dothan, AL 36303 2012-12-19
1659661874 Juanita Titrud Heersink Internal Medicine 210 Westside Drive, Dothan, AL 36303 2011-04-08
1790918548 Brandi Bradshaw Reeves Counselor 100 Westside Dr., Dothan, AK 36303 2009-08-27
1396917589 Brian Davis Physical Therapist 3763 Ross Clark Circle, Dothan, AL 36303 2008-03-27
1558544544 Healthwest Dental Associates PC Dentist 502 Healthwest Drive, Dothan, AL 36303 2007-12-12
1770644775 Christine Carroll Fain Occupational Therapist 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 2006-12-13
Find all providers in zip 36303

Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205383023 Ismail Sidky Mohamed Psychiatry & Neurology Department of Paediatrics Neurology Division, Children's Hospital of Alabama, Birmingham, AL 35249-6539 2016-09-09
1831532472 Kathryn Bowdoin Lalor Psychiatry & Neurology 1600 7th Ave S Ste 314, Birmingham, AL 35233 2013-04-13
1023376746 Michael Alonzo Lopez Psychiatry & Neurology 1600 6th Ave S # Chb314, Birmingham, AL 35233 2012-05-01
1518077965 Leah Ouano Sanchez Psychiatry & Neurology 1722 Pine St.., Ste. 606, Montgomery, AL 36106-1114 2006-08-30
1750339297 Ashraf Ahsan Syed Psychiatry & Neurology 2702 Hospital Dr, Suite 200, Northport, AL 35476-3376 2006-05-05
1467967026 Wonona Carey Psychiatry & Neurology 500 Corporate Pkwy, Birmingham, AL 35242-2932 2017-12-05
1134519093 Asri Yuliati Psychiatry & Neurology 1601 Center St, Mobile, AL 36604-1541 2015-01-30
1174968911 Lydia Robinson Marcus Psychiatry & Neurology 1600 7th Ave S, Birmingham, AL 35233-1711 2013-05-07
1538502752 Emily Gantz Psychiatry & Neurology 1600 7th Ave S, Birmingham, AL 35233 2013-04-08
1033476577 Sarah Campbell Novara Psychiatry & Neurology 1600 7th Ave S, Birmingham, AL 35233-1711 2012-04-23
Find all providers with the same taxonomy

Competitor

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City DOTHAN
Zip Code 36303

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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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