Chanetta L Woodham (NPI# 1619264520, PAC ID# 0042482861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1619264520 |
| PAC ID by PECOS | 0042482861 |
| Professional Enrollment ID | I20111020000114 |
| Full Name | Chanetta L Woodham |
| Organization Legal Name | DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES |
| Address |
207 Haven Dr Dothan AL 36301-2919 |
| Phone Number | 3347933319 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991746661 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010021 | DALE MEDICAL CENTER |
| 010049 | MEDICAL CENTER ENTERPRISE |
| Address | Phone | Organization |
|---|---|---|
| 207 Haven Dr, Dothan, AL 36301-2919 | 3347933319 | DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES |
| Organization Legal Name | DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olawale M Osunsanya | Nephrology | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Stefanie L Kincey | Nurse Practitioner | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Nowoghomwenma C Ibie | Internal Medicine | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Gregory M Wells | Neurology | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Ganjur H Guru-prakash | Nephrology | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Melissa L Holman | Nurse Practitioner | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Street Address |
207 HAVEN DR |
| City | DOTHAN |
| State | AL |
| Zip | 36301-2919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olawale M Osunsanya | Nephrology | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Stefanie L Kincey | Nurse Practitioner | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Nowoghomwenma C Ibie | Internal Medicine | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Gregory M Wells | Neurology | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Ganjur H Guru-prakash | Nephrology | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Melissa L Holman | Nurse Practitioner | Dothan Hypertension Nephrology Associates | 207 Haven Dr, Dothan, AL 36301-2919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracey Carter | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| David D Gayle | Cardiac Electrophysiology | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Melissa Watkins | Nurse Practitioner | Pulmonary Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Brittney H Edge | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Sylvia J Rushing | Interventional Cardiology | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Michael E. Pinson | Cardiovascular Disease (cardiology) | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Magan B Parker | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Emmalyn A Bady-mcdowell | Psychiatry | 4300 Main St W, Suite 102, Dothan, AL 36301-1051 | |
| Faye E Rao | Cardiovascular Disease (cardiology) | Cardiology Associates, Pa | 4300 W Main St, Suite 102, Dothan, AL 36301-1051 |
| Simon R Brooks | Interventional Cardiology | Cardiology Associates, Pa | 4300 W Main St, Suite 102, Dothan, AL 36301-1051 |
| Find all physicians in zip 36301 | |||
| City | DOTHAN |
| Zip Code | 36301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DOTHAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Chanetta L Woodham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.