DR. JONATHAN L. SKINNER (NPI# 1730184912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730184912 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN L. SKINNER |
| Credential | M.D. |
| Practice Address |
1118 Ross Clark Cir Ste 302 Dothan AL 36301-3002 |
| Practice Telephone | 3346990060 |
| Practice Fax Number | 3346990061 |
| Mailing Telephone | 3346990060 |
| Mailing Fax Number | 3346990061 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2013-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 18574 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AL BLUECROSS BLUESHIELD # | 000097074 | 01 |
| AL | 135159 | 05 |
| Street Address |
1118 ROSS CLARK CIR STE 302 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104362177 | Phillip Tyler Stanley | Nurse Anesthetist, Certified Registered | 1118 Ross Clark Cir, Dothan, AL 36301-3001 | 2017-01-13 |
| 1306214390 | Kyndal Saunders | Nurse Practitioner | 1118 Ross Clark Cir, Suite #100, Dothan, AL 36301-3001 | 2015-09-08 |
| 1427430974 | Keston Trammell | Nurse Practitioner | 1118 Ross Clark Cir, #100, Dothan, AL 36301-3001 | 2015-06-22 |
| 1033596515 | Premier Cardiology Consultants Inc | Internal Medicine | 1118 Ross Clark Cir, Ste 704, Dothan, AL 36301-3001 | 2015-05-04 |
| 1962890178 | Dothan Internal Medicine, LLC | Specialist | 1118 Ross Clark Cir, Suite 105, Dothan, AL 36301-3001 | 2014-12-23 |
| 1083033286 | John Evans Jr. | Nurse Practitioner | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 | 2014-04-15 |
| 1639591423 | Marla Hodge | Nurse Practitioner | 1118 Ross Clark Cir, Suite 403, Dothan, AL 36301-3001 | 2014-01-13 |
| 1437583598 | Primary Care Consultants, PC | Family Medicine | 1118 Ross Clark Cir, Ste 310, Dothan, AL 36301-3001 | 2013-08-26 |
| 1609200922 | Alexis Fowler Wood | Nurse Practitioner | 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3001 | 2013-08-22 |
| 1528340536 | Jonathan L Skinner LLC | Surgery | 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3001 | 2011-09-15 |
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| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700190204 | Charles Fred Conner | Surgery | 47 Foxchase Dr, Dothan, AL 36305-1145 | 2010-07-27 |
| 1053396606 | Bryant Fleming Williams | Surgery | 1118 Ross Clark Cr, Suite 500, Dothan, AL 36301-3030 | 2005-12-07 |
| 1154316586 | Jeffrey Bray Whitehurst | Surgery | 112 Haven Drive, Suite 1, Dothan, AL 36301 | 2005-09-12 |
| 1396740577 | Steven M. Fendley | Surgery | 4300 W Main St, Ste 24, Dothan, AL 36305-1054 | 2005-06-15 |
| 1740285931 | Jason D. Beaver | Surgery | 4300 W Main St Ste 21, Dothan, AL 36305-1058 | 2005-06-15 |
| 1881057974 | Houston County Healthcare Authority | Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-05 |
| 1528340536 | Jonathan L Skinner LLC | Surgery | 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3001 | 2011-09-15 |
| 1932497393 | Dothan Surgical Services, LLC | Surgery | 4300 W Main St, Dothan, AL 36305-1054 | 2011-07-19 |
| 1235443417 | Wiregrass Vascular, P.C. | Surgery | 112 Haven Dr, Suite 1, Dothan, AL 36301-2907 | 2010-07-30 |
| 1497074694 | Suh Yueh Lim | Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2010-05-27 |
| 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.