DERON SHARPE (NPI# 1104913235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104913235 |
Entity Type | Individual |
Full Name | DERON SHARPE |
Credential | M.D. |
Practice Address |
5565 Montgomery Hwy Dothan AL 36303-1552 |
Mailing Address |
126 Clinic Dr Dothan AL 36303-1980 |
Practice Telephone | 3346993733 |
Practice Fax Number | 3345003007 |
Mailing Telephone | 3347931881 |
Mailing Fax Number | 3343405918 |
Enumeration Date | 2006-10-09 |
Last Update Date | 2020-05-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
33744 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 165797 | 05 | |
GA | 003152661A | 05 | |
AL | BC/BS | 511-54132 | 01 |
FL | 013602700 | 05 |
Street Address |
5565 MONTGOMERY HWY |
City | DOTHAN |
State | AL |
Zip Code | 36303-1552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518915305 | David J Lozano | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2006-05-04 |
1750729737 | Heather Mckenzie Choat | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2013-06-12 |
1467774646 | Jennifer Muraski | Nurse Practitioner | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2010-02-16 |
1730323254 | Jacob Edwards | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2009-04-28 |
1134269848 | Meredith Cheryl Hitch | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2007-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
Find all providers in zip 36303 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205383023 | Ismail Sidky Mohamed | Psychiatry & Neurology | Department of Paediatrics Neurology Division, Children's Hospital of Alabama, Birmingham, AL 35249-6539 | 2016-09-09 |
1831532472 | Kathryn Bowdoin Lalor | Psychiatry & Neurology | 1600 7th Ave S Ste 314, Birmingham, AL 35233 | 2013-04-13 |
1023376746 | Michael Alonzo Lopez | Psychiatry & Neurology | 1600 6th Ave S # Chb314, Birmingham, AL 35233 | 2012-05-01 |
1518077965 | Leah Ouano Sanchez | Psychiatry & Neurology | 1722 Pine St.., Ste. 606, Montgomery, AL 36106-1114 | 2006-08-30 |
1750339297 | Ashraf Ahsan Syed | Psychiatry & Neurology | 2702 Hospital Dr, Suite 200, Northport, AL 35476-3376 | 2006-05-05 |
1467967026 | Wonona Carey | Psychiatry & Neurology | 500 Corporate Pkwy, Birmingham, AL 35242-2932 | 2017-12-05 |
1134519093 | Asri Yuliati | Psychiatry & Neurology | 1601 Center St, Mobile, AL 36604-1541 | 2015-01-30 |
1174968911 | Lydia Robinson Marcus | Psychiatry & Neurology | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-05-07 |
1538502752 | Emily Gantz | Psychiatry & Neurology | 1600 7th Ave S, Birmingham, AL 35233 | 2013-04-08 |
1033476577 | Sarah Campbell Novara | Psychiatry & Neurology | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-04-23 |
Find all providers with the same taxonomy |
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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.