HOUSTON COUNTY HEALTHCARE AUTHORITY (NPI# 1285097477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285097477 |
| Entity Type | Organization |
| Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Other Organization Name | SOUTHEAST CARDIOVASCULAR |
| Practice Address |
1812 E Main St Dothan AL 36301-3000 |
| Mailing Address |
Po Box 1928 Dothan AL 36302-1928 |
| Practice Telephone | 3347942825 |
| Practice Fax Number | 3347935050 |
| Mailing Telephone | 3347938087 |
| Mailing Fax Number | 3347938087 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | ROBERT DEREK MILLER (CFO) |
| Authorized Official Telephone | 3347938111 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 153687 | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Cardiovascular | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255876181 | Houston County Healthcare Authority | Family Medicine | 4550 W Main St, Suite 1, Dothan, AL 36305-1130 | 2017-01-02 |
| 1144469438 | Houston County Healthcare Authority | Nurse Practitioner | 1806 Fairview Ave Ste A, Dothan, AL 36301-3026 | 2009-02-11 |
| 1033399910 | Houston County Healthcare Authority | Durable Medical Equipment & Medical Supplies | 231 E Barbour St, Eufaula, AL 36027-1601 | 2007-11-08 |
| 1063567329 | Houston County Healthcare Authority | Durable Medical Equipment & Medical Supplies | 1109 Boll Weevill Circle, Suite 3, Enterprise, AL 36330-2063 | 2007-01-24 |
| 1457302218 | Houston County Healthcare Authority | Durable Medical Equipment & Medical Supplies | 2253 Third Ave, Suite 1, Dothan, AL 36301-5303 | 2006-05-15 |
| 1164403861 | Houston County Healthcare Authority | General Acute Care Hospital | 1108 Ross Clark Circle, Dothan, AL 36301-3022 | 2005-11-09 |
| 1275047094 | Houston County Healthcare Authority | Internal Medicine | 1118 Ross Clark Cir Ste 200, Dothan, AL 36301-3029 | 2017-12-01 |
| 1881057974 | Houston County Healthcare Authority | Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-05 |
| 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 |
| Street Address |
1812 E MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518918341 | Lori Harris Stockdale | Physician Assistant | 1812 E Main St, Dothan, AL 36301-3000 | 2006-05-15 |
| 1003399056 | Julia E Jones | Nurse Practitioner | 1812 E Main St, Dothan, AL 36301-3000 | 2018-09-14 |
| 1881057974 | Houston County Healthcare Authority | Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-05 |
| 1205249869 | Kimberly Dawn Phillips | Nurse Practitioner | 1812 E Main St, Dothan, AL 36301-3000 | 2014-06-11 |
| 1093010803 | Natalie Stokes Barefield | Physician Assistant | 1812 E Main St, Dothan, AL 36301 | 2011-01-26 |
| 1497074694 | Suh Yueh Lim | Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2010-05-27 |
| 1922243682 | Christopher Dwain Hargett | Neurological Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2008-12-10 |
| 1932132370 | Family Practice Clinic of Dothan, P.a. | Family Medicine | 1812 E Main St, Dothan, AL 36301-3000 | 2006-07-09 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922072834 | Victor S Dreicer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 W Main St Ste 21, Dothan, AL 36305-1058 | 2006-02-15 |
| 1255321279 | Steven F Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072189 | Wood Cardiothoracic and Vascular Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Wood Cardiothoracic and Vascular Institute, LLC, 303 Bay Street, Ste. 201, Gadsden, AL 35901-5203 | 2020-08-07 |
| 1811306681 | Shannon Turney | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1515 Toney Dr Se, Huntsville, AL 35802-1249 | 2014-08-06 |
| 1356685416 | Advanced Wound Care and Limb Preservation, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3715 Dauphin St Ste 503b, Mobile, AL 36608-1773 | 2012-11-15 |
| 1851686091 | Trent Howard | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Road Ste 100, Vestavia, AL 35243 | 2011-06-16 |
| 1134393507 | Peter Shu Kuen Yu | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 703 Adams St Se, Huntsville, AL 35801-3706 | 2008-04-16 |
| 1487693982 | Carlton Duane Randleman Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2704 20th St S, Ste 100, Birmingham, AL 35209-1924 | 2006-06-06 |
| 1396791604 | Stanley K Lochridge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Road, Suite 100, Birmingham, AL 35243-2560 | 2006-05-26 |
| 1699737155 | John Stephen Thurber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Rd Ste 100, Vestavia, AL 35243-2560 | 2006-04-03 |
| 1235122177 | Evan Scott Cohen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Sivley Rd Sw, Suite 300, Huntsville, AL 35801-5134 | 2005-08-25 |
| 1639177470 | Peter N/a Pluscht IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1855 Springhill Ave, Mobile, AL 36607-2301 | 2005-07-13 |
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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.