Jack D Real
FAIRVIEW CLINIC, P.C.


Address: 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
Phone: 3347943192

Jack D Real (NPI# 1710984968, PAC ID# 0749462158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1710984968
PAC ID by PECOS 0749462158
Professional Enrollment ID I20110307000464
Full Name Jack D Real
Organization Legal Name FAIRVIEW CLINIC, P.C.
Address 1118 Ross Clark Cir
Suite 303
Dothan
AL 36301-3002
Phone Number 3347943192
Gender M
Medical School UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 1956
Primary Specialty UROLOGY
Group Practice PAC ID 5991722076
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
010001 SOUTHEAST ALABAMA MEDICAL CENTER

Other Locations

Address Phone Organization
1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002 3347943192 FAIRVIEW CLINIC, P.C.

Organization Information

Organization Legal Name FAIRVIEW CLINIC, P.C.
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Justin L Casey Nurse Practitioner Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
Fiona I Masters Internal Medicine Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
Christopher L Miller Internal Medicine Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
John M Mcdonald Emergency Medicine Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
Alexis N Fowler Nurse Practitioner Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
James A Robeson Jr. Internal Medicine Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
Robert M Ortiz Nurse Practitioner Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
Earle F Mazyck Internal Medicine Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002

Office Location

Street Address 1118 ROSS CLARK CIR
SUITE 303
City DOTHAN
State AL
Zip 36301-3002

Physicians in the same location

Name Specialty Organization Address
Guy Middleton Obstetrics/gynecology Dothan Obgyn, Inc. 1118 Ross Clark Cir, Suite 402, Dothan, AL 36301-3002
Justin L Casey Nurse Practitioner Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
Jean A Robbins Certified Registered Nurse Anesthetist (crna) Houston County Healthcare Authority 1118 Ross Clark Cir, Suite 502, Dothan, AL 36301-3001
John Thomas Evans Jr. Nurse Practitioner Dothan Medical Associates, P.C. 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023
William E Reynolds Jr. Internal Medicine Houston County Healthcare Authority 1118 Ross Clark Cir, Dothan, AL 36301-3030
Amber A Williams Nurse Practitioner Houston County Healthcare Authority 1118 Ross Clark Cir, Suite 500, Dothan, AL 36301-3030
Sarah E Dalvine Nurse Practitioner Houston County Healthcare Authority 1118 Ross Clark Cir, Suite 200, Dothan, AL 36301-3029
Fiona I Masters Internal Medicine Fairview Clinic, P.C. 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002
Krishnamohan R Basarakodu Medical Oncology Houston County Healthcare Authority 1118 Ross Clark Cir, Suite 502, Dothan, AL 36301-3001
Shannon Skaug Nurse Practitioner Houston County Healthcare Authority 1118 Ross Clark Cir, Suite 200, Dothan, AL 36301-3029
Find all physicians in the same address

Physicians in the same zip code

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

Competitor

Search similar physicians

City DOTHAN
Zip Code 36301
Specialty UROLOGY
City + Specialty DOTHAN + UROLOGY

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Dataset Information

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.

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