OBSTETRICS & GYNECOLOGY OF DOTHAN INC (NPI# 1114021409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114021409 |
| Entity Type | Organization |
| Organization Name | OBSTETRICS & GYNECOLOGY OF DOTHAN INC |
| Other Organization Name | LADIES FIRST |
| Practice Address |
104 Medical Dr Dothan AL 36303 |
| Practice Telephone | 3346719445 |
| Practice Fax Number | 3348360059 |
| Mailing Telephone | 3346719445 |
| Mailing Fax Number | 3348360059 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2015-12-04 |
| Authorized Official Name | DANA GAYLORD (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 3346719445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 23245 | AL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | DO1161 | AL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 31759 | AL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 31756 | AL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 32437 | AL | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA-204 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
1006758 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 207V00000X | Obstetrics & Gynecology | AL | Allopathic & Osteopathic Physicians | |
| Y | 207V00000X | Obstetrics & Gynecology | 26014 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | CLIA WAIVED | 01D2043043 | 01 |
| MEDICAID GROUP | 529928670 | 01 | |
| CLIA WAIVED | 01D2074304 | 01 | |
| MEDICARE GROUP NUMBER | 1826 | 01 | |
| AL | CLIA WAIVED | 01D2052896 | 01 |
| AL | 051520983 | 05 | |
| AL | 051502953 | 05 | |
| MEDICAL PROTECTIVE | C47766 | 01 | |
| CLIA WAVIER | 01D2068157 | 01 | |
| CLIA WAIVED | 01D0989955 | 01 |
| Other Name | Type Code |
|---|---|
| Ladies First | Doing Business As Name - Organization |
| Street Address |
104 MEDICAL DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619414158 | Pamela Jones | Nurse Practitioner | 104 Medical Dr, Dothan, AL 36303-6902 | 2017-01-23 |
| 1558742866 | Hayley Rebecca Mcdaniel | Nurse Practitioner | 104 Medical Dr, Dothan, AL 36303-6902 | 2015-06-11 |
| 1982950911 | Tiffany General | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2012-07-27 |
| 1003191933 | Women's Wellness Center of Dothan, LLC | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2011-10-11 |
| 1265756696 | Lisa P Gowan | Nurse Practitioner | 104 Medical Dr, Dothan, AL 36303-6902 | 2010-03-14 |
| 1265674196 | Sharon Marie Bush-coaxum | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2009-03-24 |
| 1942223680 | Sabrina Kelley | Nurse Practitioner | 104 Medical Dr, Dothan, AL 36303-6902 | 2006-07-25 |
| 1598733081 | Deborah M Helms | Physician Assistant | 104 Medical Dr, Dothan, AL 36303-6902 | 2006-03-09 |
| 1962407577 | Asha Voss | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2005-06-20 |
| 1841295458 | Latoya Walton-torrence | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2005-06-20 |
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| 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 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548369945 | Cleveland & Gilchrist P C | Obstetrics & Gynecology | 202 Westside Dr, Dothan, AL 36303-1928 | 2006-09-22 |
| 1477660140 | Charles Wayne Hannah | Obstetrics & Gynecology | 122 Wentworth Dr, Dothan, AL 36305-6906 | 2006-08-25 |
| 1487665105 | Todd A Richards | Obstetrics & Gynecology | 1118 Ross Clark Circle Se, Doctor's Building Suite 600, Dothan, AL 36301-3007 | 2006-08-10 |
| 1982950911 | Tiffany General | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2012-07-27 |
| 1003191933 | Women's Wellness Center of Dothan, LLC | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2011-10-11 |
| 1528298924 | Ferguson Aesthetic Care and Enhancement Clinic | Obstetrics & Gynecology | 1118 Ross Clark Cir, Suite 210, Dothan, AL 36301-3001 | 2009-07-20 |
| 1265674196 | Sharon Marie Bush-coaxum | Obstetrics & Gynecology | 104 Medical Dr, Dothan, AL 36303-6902 | 2009-03-24 |
| 1134313794 | Stephanie Gibson | Obstetrics & Gynecology | 1118 Ross Clark Cir, Suite 600, Dothan, AL 36301-3001 | 2007-08-28 |
| 1134322217 | Allison Elizabeth Marker | Obstetrics & Gynecology | 137 Clinic Dr, Dothan, AL 36303-1992 | 2007-06-07 |
| 1659589166 | Bryan Mullins | Obstetrics & Gynecology | 4300 W Main St, Suite 31, Dothan, AL 36305-1054 | 2007-05-18 |
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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.