DOTHAN DIAGNOSTIC IMAGING RADIOLOGY, PLLC (NPI# 1528445145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528445145 |
| Entity Type | Organization |
| Organization Name | DOTHAN DIAGNOSTIC IMAGING RADIOLOGY, PLLC |
| Other Organization Name | DOTHAN DIAGNOSTIC IMAGING |
| Practice Address |
217 Graceland Dr Ste 4 Dothan AL 36305-7376 |
| Practice Telephone | 3347921525 |
| Mailing Telephone | 3347921525 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | DR. ROSS W. BARNETT (OWNER) |
| Authorized Official Telephone | 3347921525 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dothan Diagnostic Imaging | Doing Business As Name - Organization |
| Street Address |
217 GRACELAND DR STE 4 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-7376 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730409608 | Robert Evans Egbert | Radiology | 2015 Alexander Dr, Dothan, AL 36301-3003 | 2010-06-02 |
| 1972561686 | Dothan Diagnostic Imaging, Inc | Radiology | 2240 W Main St, Dothan, AL 36301-1222 | 2006-05-02 |
| 1134306616 | Elizabeth Parker | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2008-01-27 |
| 1427232966 | Liang Gu | Radiology | 1900 Fairview Ave, Radiology Associates of Dothan, Dothan, AL 36301-3008 | 2007-12-19 |
| 1417019670 | Rheumatology Associates of Dothan Idtf | Radiology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2006-12-14 |
| 1619923554 | Southwood Radiology | Radiology | 1891 Honeysuckle Rd, Suite 3, Dothan, AL 36305-4269 | 2006-05-25 |
| 1699725457 | James Scott Bolton | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2006-05-11 |
| 1851368880 | Donna H. West | Radiology | 2115 W Main St, Dothan, AL 36301-1289 | 2006-03-08 |
| 1700860277 | Michael N Downing | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-30 |
| 1023092509 | Sibley N Turner | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-30 |
| Find all providers in DOTHAN | ||||
Please comment or provide details below to improve the information on DOTHAN DIAGNOSTIC IMAGING RADIOLOGY, PLLC.
| 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.