PAUL H. CHAN MD PC (NPI# 1114113578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114113578 |
| Entity Type | Organization |
| Organization Name | PAUL H. CHAN MD PC |
| Practice Address |
1800 Fairview Ave Suite 2 Dothan AL 36301-3058 |
| Mailing Address |
Po Box 1525 Dothan AL 36302-1525 |
| Practice Telephone | 3346781400 |
| Practice Fax Number | 3346781432 |
| Mailing Telephone | 3346781400 |
| Mailing Fax Number | 3346781432 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | MRS. GLENDA A JONES (OFFICE MANAGER) |
| Authorized Official Telephone | 3346781400 |
| Authorized Official Credential | CMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
13615 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RRMC | DE5059 | 01 |
| AL | 529913350 | 05 |
| Street Address |
1800 FAIRVIEW AVE SUITE 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154326783 | Paul H Chan | Internal Medicine | 1800 Fairview Ave, Suite 2, Dothan, AL 36301-3058 | 2005-06-20 |
| 1043463557 | Dothan Neurodiagnostic Center PC | Psychiatry & Neurology | 1800 Fairview Ave, Suite 1, Dothan, AL 36301-3058 | 2008-10-28 |
| 1376593681 | Alan David Prince | Psychiatry & Neurology | 1800 Fairview Ave, Suite 1, Dothan, AL 36301-3026 | 2006-05-10 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
| 1558616029 | Realm Incorporated | Clinic/Center | 1435 W Main St, Dothan, AL 36301-1311 | 2012-07-19 |
| 1013199074 | Primeteam, Inc. | Clinic/Center | 4126 West Main Street, Dothan, AL 36305-9310 | 2007-12-03 |
| 1619163078 | Jason A. Zacks, Md PC | Clinic/Center | 1920 Fairview Ave, Dothan, AL 36301-3008 | 2007-09-19 |
| 1487726626 | Primecare of Dothan, PC | Clinic/Center | 301 Westgate Pkwy, Dothan, AL 36303-2962 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316758 | Modern Health Family Care Practice | Clinic/Center | 13000 Cottonwood Rd, Cottonwood, AL 36320-4280 | 2020-05-01 |
| 1487274650 | Faith Medical Clinic LLC | Clinic/Center | 64 Mccurdy Ave N, Rainsville, AL 35986-4465 | 2020-04-17 |
| 1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
| 1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
| 1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
| 1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
| 1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
| 1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
| 1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
| 1922546357 | Medcenter Primary Care | Clinic/Center | 4960 Rice Mine Road Ne, Ste 10, Northport, AL 35476-2838 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
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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.