DR. KENNETH CHARLES FLETCHER (NPI# 1518947217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518947217 |
| Entity Type | Individual |
| Full Name | DR. KENNETH CHARLES FLETCHER |
| Credential | MD |
| Practice Address |
4370 W Main St Anesthesia Dept Dothan AL 36305-1056 |
| Mailing Address |
Po Box 934399 Atlanta GA 31193-0001 |
| Practice Telephone | 3347945000 |
| Mailing Telephone | 3347945000 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 00012799 | AL | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
00012799 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386155257 | Kenneth Fletcher | Acupuncturist | 628 W Iris Dr, Nashville, TN 37204-3191 | 2017-10-18 |
| 1073065769 | Kenneth Fletcher | Day Training/Habilitation Specialist | 3900 Fm 744, Corsicana, TX 75110-1714 | 2016-10-27 |
| 1477575876 | Kenneth Charles Fletcher Jr. | Otolaryngology | The Vanderbilt Voice Center, 1215 21st Ave South, Ste 7302, Nashville, TN 37232 | 2006-07-24 |
| 1851691679 | Kenneth B Fletcher | Pharmacist | 2125 W Us Highway 70, Thatcher, AZ 85552-5446 | 2010-10-26 |
| 1578877684 | Kenneth D Fletcher IIi | Clinical Nurse Specialist | 1106 Ryan St, Lake Charles, LA 70601-5252 | 2010-07-30 |
| Street Address |
4370 W MAIN ST ANESTHESIA DEPT |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061619 | Richard D Key | Pathology | 4370 W Main St, Dothan, AL 36305-1056 | 2005-08-25 |
| 1467064089 | Regan Woodham | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2020-08-17 |
| 1871114090 | Hillary Ryan Mclemore | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-4000 | 2020-04-28 |
| 1255981908 | Jessica Pastino | Dietitian, Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2019-09-15 |
| 1255980439 | Madeline Eidson | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2019-09-10 |
| 1720646102 | Austin Wyatt Bivins | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2019-05-31 |
| 1972076859 | Tillman Hall | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2019-01-03 |
| 1245713684 | App of Alabama Hm, LLC | Hospitalist | 4370 W Main St, Dothan, AL 36305-1056 | 2018-09-12 |
| 1376029744 | Debra Elaine Phillips | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2018-07-18 |
| 1801382478 | Veronica Diane Doss | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305 | 2018-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1740269612 | Mark L Willis | Anesthesiology | 208 Haven Dr, Southeast Pain Mgmt Center, Dothan, AL 36301-2909 | 2006-01-10 |
| 1639158504 | James K York | Anesthesiology | 1118 Ross Clark Circle, Suite 700, Dothan, AL 36301 | 2006-01-10 |
| 1770938524 | Nicholas Ryan Mangnitz | Anesthesiology | 4370 W Main St, Dothan, AL 36305-1056 | 2016-04-29 |
| 1558657890 | Wiregrass Clinic LLC | Anesthesiology | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2011-06-24 |
| 1861782823 | Clint Thomas Wade | Anesthesiology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2011-04-12 |
| 1386934347 | Do Tu Nguyen | Anesthesiology | 1108 Ross Clark Cir, Suite 700, Dothan, AL 36301-3022 | 2011-04-12 |
| 1538488531 | Kelsey T Steensland | Anesthesiology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2010-05-31 |
| 1568627842 | Ralph Michael Weatherford Jr. | Anesthesiology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2008-07-25 |
| 1275723272 | Nathan Spivey | Anesthesiology | 4370 W Main St, Dothan, AL 36305-1056 | 2007-07-26 |
| 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.