DR. MARY GRACE SOON (NPI# 1730384421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730384421 |
| Entity Type | Individual |
| Full Name | DR. MARY GRACE SOON |
| Other Name | MARY SOON STUART |
| Credential | MD |
| Practice Address |
4370 W Main St Dothan AL 36305-1056 |
| Mailing Address |
6005 N Pointe Dr Columbus GA 31909-3890 |
| Practice Telephone | 3347935000 |
| Mailing Telephone | 7068883485 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2016-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | MD.33053 | AL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD-14409 | HI | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 060322 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | LIC | MD-14409 | 01 |
| GA | 912934550E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073754818 | Mary Bernadette Soon | Marriage & Family Therapist | 5856 Buffalo Ave, Valley Glen, CA 91401-4538 | 2009-03-06 |
| Street Address |
4370 W MAIN ST |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713684 | App of Alabama Hm, LLC | Hospitalist | 4370 W Main St, Dothan, AL 36305-1056 | 2018-09-12 |
| 1992178628 | Northern Alabama Physicians, LLP | Hospitalist | 4370 W Main St, Dothan, AL 36305-1056 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104343581 | Summit Physician Group LLP | Hospitalist | 2700 Hospital Dr Ofc 1, Northport, AL 35476-3360 | 2017-08-25 |
| 1891226106 | Kelsey King | Hospitalist | 619 19th St S # Wpp915, Birmingham, AL 35249-0001 | 2017-03-27 |
| 1649727694 | Whatley Health Services, Inc. | Hospitalist | 508 Green Street, Greensboro, AL 36744-2316 | 2016-09-07 |
| 1174767974 | Norwood Neurology Inc | Hospitalist | 920 Castlemaine Ct, Birmingham, AL 35226-5916 | 2009-04-23 |
| 1467613729 | Xinyu Chen | Hospitalist | 8712 Marsh Ridge Dr, Montgomery, AL 36117-8509 | 2008-06-19 |
| 1043479124 | Felix R Dulanto | Hospitalist | 7625 Old Springville Rd, Trussville, AL 35173-1739 | 2008-06-04 |
| 1184809659 | Kenyetta Terrell | Hospitalist | Wp P915 619 19th Street South, Birmingham, AL 35249-8907 | 2008-01-03 |
| 1487694782 | Fort Payne Hospital Corporation | Hospitalist | 200 Medical Center Dr., Fort Payne, AL 35968 | 2006-06-07 |
| 1083663579 | Fort Payne Hospital Organization | Hospitalist | 200 Medical Centre Dr., Fort Payne, AL 35968 | 2006-05-10 |
| 1235116971 | Steven Craig Smith | Hospitalist | 995 9th Ave Sw, Suite 305, Bessemer, AL 35022-4527 | 2005-12-23 |
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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.