MR. MAXWELL GEOFF GUNN


Address: 2431 W Main St, Ste 1001, Dothan, AL 36301-1217
Phone: 3347942825

MR. MAXWELL GEOFF GUNN (NPI# 1356658868) 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) 1356658868
Entity Type Individual
Full Name MR. MAXWELL GEOFF GUNN
Credential P.A.
Practice Address 2431 W Main St
Ste 1001
Dothan
AL 36301-1217
Mailing Address 101 E Brunson St
Ste 200
Enterprise
AL 36330-2500
Practice Telephone 3347942825
Practice Fax Number 3347935050
Mailing Telephone 3343933686
Mailing Fax Number 3343474906
Enumeration Date 2010-09-03
Last Update Date 2016-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
TA.1713 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2431 W MAIN ST
STE 1001
City DOTHAN
State AL
Zip Code 36301-1217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144228388 L Terry Pynes Specialist 2431 W Main St, Ste 501, Dothan, AL 36301 2005-07-12
1457898983 Wiregrass Medical Associates 2 LLC Internal Medicine 2431 W Main St, Ste 1102, Dothan, AL 36301-1217 2017-01-23
1366987208 Lynette M Elkins Nurse Practitioner 2431 W Main St, Suite 1102, Dothan, AL 36301-1217 2017-01-02
1881016491 Miller Orthodontics, LLC Dentist 2431 W Main St, Suite 303, Dothan, AL 36301-1217 2014-01-16
1376800458 Karina Jean Parker Counselor 2431 W Main St, Suite 603, Dothan, AL 36301-1217 2012-04-13
1205107240 Barbara Diane Coffey Counselor 2431 W Main St, Suite 603, Dothan, AL 36301-1217 2012-01-23
1821383035 Dothan Cosmetic Dentistry, PC Dentist 2431 W Main St, Suite 401, Dothan, AL 36301-1217 2011-06-15
1235438748 Dermatology Associates of Bay County, P.a. Dermatology 2431 W Main St, Suite 501, Dothan, AL 36301-1217 2011-03-23
1295067643 Patrick Scott Nelson Physician Assistant 2431 W Main St, 501, Dothan, AL 36301-1217 2010-02-10
1912152521 Kenneth Trevor Parker Dentist 2431 W Main St, Suite 601, Dothan, AL 36301-1217 2008-11-24
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Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942771183 Sarah Elizabeth Sloop Physician Assistant 4300 W Main St Ste 24, Dothan, AL 36305-1312 2018-12-16
1518918341 Lori Harris Stockdale Physician Assistant 1812 E Main St, Dothan, AL 36301-3000 2006-05-15
1134498132 Kelli Nicole Heer Physician Assistant 106 Westside Dr, Dothan, AL 36303-1908 2011-12-20
1912043399 Ashley Leigh Rane Physician Assistant 1500 Ross Clark Cir, Dothan, AL 36301-4754 2007-01-30
1982677803 Thomas C Gauldin Physician Assistant 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 2006-02-10
1356331201 John V Manning Jr. Physician Assistant 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 2005-10-24
1538159496 Jose M Gonzalez Physician Assistant 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 2005-10-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053887885 Rachel B Rigsby Physician Assistant 22454 Us Highway 72 Ste 200, Athens, AL 35613-2609 2018-10-19
1588139349 Lauren M Sheffield Physician Assistant 22454 Hwy 72, Suite 200, Athens, AL 35613 2018-10-09
1255815908 Cora Kuhns Physician Assistant 6401 Jordan Rd Suite A, Daphne, AL 36526-4728 2018-09-19
1396282026 Travis Blackburn Physician Assistant 200 Montgomery Hwy Ste 125, Vestavia, AL 35216-1840 2017-01-19
1043603236 Julie Boyd Physician Assistant 516 20th St S, Birmingham, AL 35233-2028 2015-03-11
1255738605 James Cilimberg Physician Assistant 2871 Acton Rd, Suite 100, Vestavia, AL 35243-2559 2014-12-01
1780950733 Laura Nugent Bradley Physician Assistant 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 2012-03-23
1740583780 University Orthopaedic Clinic, PC Physician Assistant 1732 Temple Ave N, Fayette, AL 35555-1321 2010-12-14
1811290968 Lacey Golden Physician Assistant 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 2010-12-13
1659693836 Chelsea Bares Physician Assistant 2151 Highland Ave S Ste 200, Birmingham, AL 35205-4031 2010-02-16
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Competitor

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City DOTHAN
Zip Code 36301

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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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