HOUSTON COUNTY HEALTHCARE AUTHORITY (NPI# 1669626719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669626719 |
| Entity Type | Organization |
| Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Other Organization Name | NEUROSPINE CENTER/OSTEOPATHIC PRINCIPLES & PRACTICES |
| Practice Address |
102 Doctors Dr Dothan AL 36301-2911 |
| Practice Telephone | 3347938804 |
| Practice Fax Number | 3346994473 |
| Mailing Telephone | 3347938804 |
| Mailing Fax Number | 3346994473 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | MR. ROBERT DEREK MILLER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3347938111 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NeuroSpine Center/Osteopathic Principles & Practices | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255876181 | Houston County Healthcare Authority | Family Medicine | 4550 W Main St, Suite 1, Dothan, AL 36305-1130 | 2017-01-02 |
| 1144469438 | Houston County Healthcare Authority | Nurse Practitioner | 1806 Fairview Ave Ste A, Dothan, AL 36301-3026 | 2009-02-11 |
| 1033399910 | Houston County Healthcare Authority | Durable Medical Equipment & Medical Supplies | 231 E Barbour St, Eufaula, AL 36027-1601 | 2007-11-08 |
| 1063567329 | Houston County Healthcare Authority | Durable Medical Equipment & Medical Supplies | 1109 Boll Weevill Circle, Suite 3, Enterprise, AL 36330-2063 | 2007-01-24 |
| 1457302218 | Houston County Healthcare Authority | Durable Medical Equipment & Medical Supplies | 2253 Third Ave, Suite 1, Dothan, AL 36301-5303 | 2006-05-15 |
| 1164403861 | Houston County Healthcare Authority | General Acute Care Hospital | 1108 Ross Clark Circle, Dothan, AL 36301-3022 | 2005-11-09 |
| 1275047094 | Houston County Healthcare Authority | Internal Medicine | 1118 Ross Clark Cir Ste 200, Dothan, AL 36301-3029 | 2017-12-01 |
| 1881057974 | Houston County Healthcare Authority | Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-05 |
| 1285097477 | Houston County Healthcare Authority | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-04 |
| 1306205497 | Houston County Healthcare Authority | Social Worker | 1450 Ross Clark Cir, Suite 400a, Dothan, AL 36301-4765 | 2016-02-17 |
| Street Address |
102 DOCTORS DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255393187 | Steven D Harris | Specialist | 102 Doctors Dr, Dothan, AL 36301-2911 | 2006-04-05 |
| 1154798213 | Jennifer Rozzelle Fortson | Nurse Practitioner | 102 Doctors Dr, Dothan, AL 36301-2911 | 2015-08-25 |
| 1447644356 | Tyler Hansen | Physical Medicine & Rehabilitation | 102 Doctors Dr, Dothan, AL 36301 | 2015-03-28 |
| 1053719286 | Wiregrass Rheumatology, PC | Internal Medicine | 102 Doctors Dr, Suite 1, Dothan, AL 36301-2911 | 2014-12-22 |
| 1679912570 | Yogesh Gujrati | Psychiatry & Neurology | 102 Doctors Dr, Dothan, AL 36301-2911 | 2013-06-24 |
| 1235436510 | Mckinley, P.C. | Ophthalmology | 102 Doctors Dr, Suite 2, Dothan, AL 36301-2911 | 2011-02-22 |
| 1174585541 | Virgil Warren Rollins | Specialist | 102 Doctors Dr, Dothan, AL 36301-2911 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922243682 | Christopher Dwain Hargett | Neurological Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2008-12-10 |
| 1972798544 | Neurological Associates of Dothan | Neurological Surgery | 1118 Ross Clark Circle, Ste 301, Dothan, AL 36301 | 2007-09-07 |
| 1306898382 | Neuro Spine P C | Neurological Surgery | 1118 Ross Clark Cir, Suite 301, Dothan, AL 36301-3001 | 2006-05-17 |
| 1346245966 | David Bruce Woodham | Neurological Surgery | 4300 W Main St Ste 405, Dothan, AL 36305-1086 | 2005-06-20 |
| 1497750012 | Nicholas Frederick Voss | Neurological Surgery | 4300 W Main St Ste 405, Dothan, AL 36305-1086 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720565351 | Faizal Aminmohamed Haji | Neurological Surgery | Lowder 400, 1600 7th Avenue South, Birmingham, AL 35233 | 2018-07-26 |
| 1558714121 | Neurology Center of East Alabama, LLC | Neurological Surgery | 2570 Village Professional Drive, Opelika, AL 36801-4742 | 2016-07-19 |
| 1689074825 | John Rainer | Neurological Surgery | 2415 Moores Mill Rd Unit 265, Auburn, AL 36830-8484 | 2014-08-25 |
| 1003226895 | James Davie | Neurological Surgery | 663 Idlewild Cir, Birmingham, AL 35205-5830 | 2014-05-01 |
| 1467792572 | Bluitt Lee Landers Jr. | Neurological Surgery | 5188 Crossings Pkwy, Birmingham, AL 35242-4538 | 2013-02-26 |
| 1205128790 | Richard Philip Menger | Neurological Surgery | 1604 Center Street, Ste 2s, Mobile, AL 36604-1541 | 2011-05-03 |
| 1477852739 | Ninh Ba Doan | Neurological Surgery | 2065 E South Blvd Ste 204, Montgomery, AL 36116-2460 | 2011-03-24 |
| 1780905380 | Joshua York Menendez | Neurological Surgery | 800 Saint Vincents Dr Ste 700, Birmingham, AL 35205-1630 | 2010-06-17 |
| 1598084394 | Jessica Nicole Bentley | Neurological Surgery | Jt727 619 19th St S, Birmingham, AL 35294 | 2010-05-19 |
| 1760717342 | Frank Phillip Haws | Neurological Surgery | 421 Mcclung Ave, Huntsville, AL 35801-3111 | 2009-10-15 |
| 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.