DR. ROBERT D SHEDDEN (NPI# 1144284951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144284951 |
| Entity Type | Individual |
| Full Name | DR. ROBERT D SHEDDEN |
| Credential | DO |
| Practice Address |
318 Westgate Pkwy Suite 2 Dothan AL 36303-2963 |
| Practice Telephone | 3347029445 |
| Practice Fax Number | 3347029465 |
| Mailing Telephone | 3347029445 |
| Mailing Fax Number | 3347029465 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | D0118 | AL | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | D0118 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA STATE LICENSE | 22334 | 01 |
| AL | ALABAMA LICENSE NUMBER | D0118 | 01 |
| Street Address |
318 WESTGATE PKWY SUITE 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851715833 | Dothan Pain Center LLC | Physical Medicine & Rehabilitation | 318 Westgate Pkwy, Suite 2, Dothan, AL 36303-2963 | 2014-02-11 |
| 1336445014 | Patients 1st of Dothan, LLC | Family Medicine | 318 Westgate Pkwy, Ste. 2, Dothan, AL 36303-2963 | 2011-01-28 |
| 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 | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992826168 | Christopher Kirya | Neuromusculoskeletal Medicine, Sports Medicine | 410 Bay St, Gadsden, AL 35901-5108 | 2007-04-03 |
| 1467576801 | Neuroscience Services, P.C. | Neuromusculoskeletal Medicine, Sports Medicine | 800 Saint Vincents Dr Ste 710, Birmingham, AL 35205-1633 | 2007-03-19 |
| 1144285156 | Kenneth K Taylor | Neuromusculoskeletal Medicine, Sports Medicine | 242 Winton Blount Loop, Montgomery, AL 36117 | 2006-04-20 |
| 1912970450 | Montgomery Physical Medicine & Rehabilitation, P.C. | Neuromusculoskeletal Medicine, Sports Medicine | 4465 Narrow Lane Rd, Montgomery, AL 36116-2953 | 2006-02-07 |
| 1740261346 | Robert Edley Stewart | Neuromusculoskeletal Medicine, Sports Medicine | 115 Manning Dr Sw, Suite A101, Huntsville, AL 35801-4315 | 2005-11-10 |
| 1902353048 | Tuskegee University | Neuromusculoskeletal Medicine, Sports Medicine | 1200 W Montgomery Rd, Second Floor Logan Hall, Tuskegee Institute, AL 36088-1923 | 2016-09-07 |
| 1679617526 | Andrews Sports Medicine and Orthopaedic Center | Neuromusculoskeletal Medicine, Sports Medicine | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2007-02-16 |
| 1023122421 | Edgar Tating Victoria | Neuromusculoskeletal Medicine, Sports Medicine | 1411 Piedmont Cutoff, Gadsden, AL 35903 | 2006-08-19 |
| 1548289218 | Steven Pearce Roberts | Neuromusculoskeletal Medicine, Sports Medicine | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2006-07-19 |
| 1902896509 | Lucie Monette King | Neuromusculoskeletal Medicine, Sports Medicine | 701 University Blvd E, Suite 602, Tuscaloosa, AL 35401-2086 | 2005-10-25 |
| 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.