DR. EMMETTE ROSS CLIFTON JR. (NPI# 1306891593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306891593 |
| Entity Type | Individual |
| Full Name | DR. EMMETTE ROSS CLIFTON JR. |
| Credential | D.O. |
| Practice Address |
345 Healthwest Dr Dothan AL 36303-2053 |
| Mailing Address |
Po Box 729 Dothan AL 36302-0729 |
| Practice Telephone | 3347932663 |
| Practice Fax Number | 3348362248 |
| Mailing Telephone | 3347932663 |
| Mailing Fax Number | 3348362248 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DO 319 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000532364D | 05 | |
| AL | 159086 | 05 | |
| AL | 164246 | 05 | |
| AL | BCBS OF AL - RCC | 511-47107 | 01 |
| AL | 159704 | 05 | |
| AL | MEDICARE ID | 1306891593 | 01 |
| AL | BCBS OF AL - ENTERPRISE | 511-52694 | 01 |
| AL | BCBS OF AL - HEALTHWEST | 511-47106 | 01 |
| GA | 000532364E | 05 |
| Street Address |
345 HEALTHWEST DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539769 | Adam L Borcik | Physical Therapist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2005-06-21 |
| 1912518069 | Adam Klye Johnston | Physical Therapist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2020-08-12 |
| 1518577428 | Haley Barnett | Physical Therapist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2020-08-05 |
| 1912532938 | Caitlin Cherry Brannon | Occupational Therapist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2020-03-10 |
| 1275034712 | Encore Rehabilitation, Inc. | Clinic/Center | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2018-02-21 |
| 1588117196 | Matthew Homan | Physical Therapist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2016-07-31 |
| 1356793632 | Hannah Whigham | Specialist/Technologist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2016-07-11 |
| 1689026262 | Tatum R Fowler | Specialist/Technologist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2016-07-07 |
| 1144688961 | Laura Lee Homan | Physical Therapist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2016-02-08 |
| 1821466434 | S.b.j.s., PC | Psychiatry & Neurology | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2015-09-14 |
| Find all providers in the same location | ||||
| 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 Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801163506 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 1865 Honeysuckle Rd Ste 3, Dothan, AL 36305-4287 | 2011-11-23 |
| 1942397302 | Amir Ilyas | Psychiatry & Neurology | 1865 Honeysuckle Rd, Suite 3, Dothan, AL 36305-4286 | 2006-10-06 |
| 1467408328 | William G Watson Jr. | Psychiatry & Neurology | 2581 Montgomery Hwy, Dothan, AL 36303 | 2006-05-25 |
| 1043262736 | Sher M Ghori | Psychiatry & Neurology | 1118 Ross Clark Cir Ste 301, Dothan, AL 36301-3002 | 2006-05-17 |
| 1225086366 | Michael John Labanowski | Psychiatry & Neurology | 2346 W Main St, Ste. 2, Dothan, AL 36301-1224 | 2006-05-04 |
| 1851366009 | Hassan Kesserwani | Psychiatry & Neurology | 348 Healthwest Dr, Dothan, AL 36303-1907 | 2006-02-21 |
| 1821466434 | S.b.j.s., PC | Psychiatry & Neurology | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2015-09-14 |
| 1679912570 | Yogesh Gujrati | Psychiatry & Neurology | 102 Doctors Dr, Dothan, AL 36301-2911 | 2013-06-24 |
| 1992096440 | Wiregrass Neurology, PC | Psychiatry & Neurology | 4300 W Main St, Suite 102, Dothan, AL 36305-1092 | 2011-05-02 |
| 1043463557 | Dothan Neurodiagnostic Center PC | Psychiatry & Neurology | 1800 Fairview Ave, Suite 1, Dothan, AL 36301-3058 | 2008-10-28 |
| Find all providers in DOTHAN | ||||
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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.