AUBREY DUSTIN GANDY (NPI# 1972741593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972741593 |
| Entity Type | Individual |
| Full Name | AUBREY DUSTIN GANDY |
| Credential | D.O. |
| Practice Address |
4370 W Main St Dothan AL 36305-1056 |
| Mailing Address |
Po Box 1410 Dothan AL 36302-1410 |
| Practice Telephone | 3347930010 |
| Mailing Telephone | 3347930010 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2011-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
DO.1039 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51049105 | 01 |
| AL | 110832 | 05 |
| 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 |
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| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061619 | Richard D Key | Pathology | 4370 W Main St, Dothan, AL 36305-1056 | 2005-08-25 |
| 1346318300 | Patrick B Jones | Pathology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2006-11-30 |
| 1568433985 | Mark E Shertzer | Pathology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2006-02-01 |
| 1477524890 | Arthur R Summerlin IIi | Pathology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2006-02-01 |
| 1134190648 | Pathology Laboratory Associates | Pathology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2006-02-01 |
| 1932199890 | David H Zhang | Pathology | 4370 W Main St, Dothan, AL 36305-1056 | 2005-10-24 |
| 1184613127 | Timothy W Mcneely | Pathology | 4370 W Main St, Dothan, AL 36305-1056 | 2005-10-20 |
| 1851380893 | Merle N Madigan | Pathology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164080529 | Usa Health Physician Billing Services LLC | Pathology | 2451 University Hospital Dr Fl 1, Mobile, AL 36617-2300 | 2019-05-31 |
| 1790219137 | Inform Diagnostics, Inc. | Pathology | 101b Villa Dr, Suite 108, Daphne, AL 36526-4653 | 2017-04-12 |
| 1649634445 | Elijah Stiefel | Pathology | 2550 Genoa Way Apt 102, Vestavia, AL 35243-7031 | 2016-04-07 |
| 1922468677 | Rex Daniel Roach IIi | Pathology | 6554 Lubarrett Way, Mobile, AL 36695-3825 | 2016-02-23 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1790027795 | Paul Wesley Gray Jr. | Pathology | 3206 Westburg Ct Sw, Huntsville, AL 35801-3331 | 2013-03-18 |
| 1366704991 | Lindsey Estelle Matthews | Pathology | 1004 1st St N Ste 200, Alabaster, AL 35007 | 2012-06-11 |
| 1295003853 | Ronald Harris Dykes | Pathology | 115 Mountain Brook Dr, Scottsboro, AL 35768-7529 | 2011-12-09 |
| 1336440080 | George Van Eisenhart | Pathology | 2834 Shook Hill Cir, Birmingham, AL 35223-2600 | 2010-11-11 |
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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.