MRS. LORI HARRIS STOCKDALE (NPI# 1518918341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518918341 |
| Entity Type | Individual |
| Full Name | MRS. LORI HARRIS STOCKDALE |
| Credential | PA-C |
| Practice Address |
1812 E Main St Dothan AL 36301-3000 |
| Practice Telephone | 3347942825 |
| Practice Fax Number | 3347935050 |
| Mailing Telephone | 3347942825 |
| Mailing Fax Number | 3347935050 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10004359 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS & BLUE SHIELD | 51000528 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 51000529 | 01 |
| AL | BLUE CROSS & BLUE SHIELD | 51000527 | 01 |
| Street Address |
1812 E MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285097477 | Houston County Healthcare Authority | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-04 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771183 | Sarah Elizabeth Sloop | Physician Assistant | 4300 W Main St Ste 24, Dothan, AL 36305-1312 | 2018-12-16 |
| 1134498132 | Kelli Nicole Heer | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2011-12-20 |
| 1356658868 | Maxwell Geoff Gunn | Physician Assistant | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2010-09-03 |
| 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 |
| 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 |
| 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.