WIREGRASS RADIATION ONCOLOGY PC (NPI# 1871620484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871620484 |
| Entity Type | Organization |
| Organization Name | WIREGRASS RADIATION ONCOLOGY PC |
| Practice Address |
1108 Ross Clark Cir Radiation Oncology Dothan AL 36301-3022 |
| Mailing Address |
Po Box 11407 Dept. 2131 Birmingham AL 35246-2131 |
| Practice Telephone | 3347938081 |
| Practice Fax Number | 3347931448 |
| Mailing Telephone | 3347938081 |
| Mailing Fax Number | 3347931448 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | JARROD B ADKISON (OWNER) |
| Authorized Official Telephone | 3346998111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | DC5678 | 01 | |
| AL | BCBS DOTHAN | 511-98066 | 01 |
| AL | 529917150 | 05 |
| Street Address |
1108 ROSS CLARK CIR RADIATION ONCOLOGY |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576268 | Judith L Bosse | Nurse Practitioner | 1108 Ross Clark Cir, Hospitalist Office, Dothan, AL 36301-3022 | 2005-05-27 |
| 1811597073 | Michael Brian Pierce | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-10-27 |
| 1659990901 | Robert Dale Garrett | Nurse Anesthetist, Certified Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-04-15 |
| 1861028607 | Richard Henry Jester | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-03-12 |
| 1467017335 | Keaton Peak | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301 | 2019-05-07 |
| 1396214060 | Shalita Clark | Psychiatry & Neurology | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2018-11-24 |
| 1619452760 | Drew Mckenzie Hubbard | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2018-09-25 |
| 1609359926 | Amber Salmon | Dietitian, Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3024 | 2018-09-12 |
| 1255825832 | Shannon Louette Skaug | Nurse Practitioner | 1108 Ross Clark Cir, Dothan, AL 36301-3024 | 2018-06-18 |
| 1225529712 | Vyshnavi Kone | Student in an Organized Health Care Education/Training Program | 1108 Ross Clark Cir, Dothan, AL 36301 | 2018-05-21 |
| Find all providers in the same location | ||||
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891726451 | Kenyon M. Meadows | Radiology | 4247 W. Main Street, Dothan, AL 36305-1062 | 2006-07-05 |
| 1851371306 | Paul W. Adams, Md, PC | Radiology | 4274 W Main St, Dothan, AL 36305-1062 | 2006-01-20 |
| 1831385632 | 21st Century Oncology of Alabama LLC | Radiology | 4274 W Main St, Dothan, AL 36305-1062 | 2007-09-15 |
| 1790908796 | Brian C Center | Radiology | 4274 W Main St, Dothan, AL 36305-1062 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1578940029 | Robert Spencer Kirkland | Radiology | 44 Medical Park Dr E, Birmingham, AL 35235-3401 | 2015-05-05 |
| 1215345723 | Baldwin County Cancer Center LLC | Radiology | 808 Morphy Ave, Fairhope, AL 36532-1908 | 2014-07-28 |
| 1366887945 | Olivia Claire Ball | Radiology | 5 Mobile Infirmary Cir Ste G805, Mobile, AL 36607-3513 | 2013-05-08 |
| 1972855450 | Sawrie Oncology Inc. | Radiology | 1207 Azalea Pl, Brewton, AL 36426-1337 | 2012-10-09 |
| 1780936260 | Sawrie Oncology Inc | Radiology | 200 Rumbley Rd, Monroeville, AL 36460-3064 | 2012-10-09 |
| 1841507472 | Rolf Parker Griffith Sr. | Radiology | 432 Echols Av. S.e., Huntsville, AL 35801-4125 | 2010-09-02 |
| 1326233404 | Assurance Oncology Services LLC | Radiology | 70 Bowden Cir, Chelsea, AL 35043-3215 | 2007-09-11 |
| 1376749143 | Brian Anthony Bates | Radiology | 1308 Bowman Rd, Birmingham, AL 35235-2511 | 2007-06-26 |
| 1053441196 | Bethesda Resources Inc | Radiology | 208 Marengo St, Florence, AL 35630-6097 | 2007-03-07 |
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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.