VICTOR S DREICER (NPI# 1922072834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922072834 |
| Entity Type | Individual |
| Full Name | VICTOR S DREICER |
| Credential | MD |
| Practice Address |
4300 W Main St Ste 21 Dothan AL 36305-1058 |
| Mailing Address |
Po Box 6599 Dothan AL 36302-1654 |
| Practice Telephone | 3346997900 |
| Practice Fax Number | 3349447040 |
| Mailing Telephone | 3346997900 |
| Mailing Fax Number | 3349447040 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 36316 | AL | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22952 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201109650A | 05 | |
| AZ | 17887 | 05 | |
| KS | MEDICARE PTAN | 068002298 | 01 |
| Street Address |
4300 W MAIN ST STE 21 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285931 | Jason D. Beaver | Surgery | 4300 W Main St Ste 21, Dothan, AL 36305-1058 | 2005-06-15 |
| 1982025003 | Wendi Tice | Registered Nurse | 4300 W Main St Ste 21, Dothan, AL 36305-1058 | 2013-12-16 |
| 1184995292 | Jason Lee Cox | Nurse Practitioner | 4300 W Main St Ste 21, Dothan, AL 36305-1058 | 2012-01-20 |
| 1073508404 | Charles Jackie Carpenter Jr. | Surgery | 4300 W Main St Ste 21, Dothan, AL 36305-1058 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285097477 | Houston County Healthcare Authority | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-04 |
| 1255321279 | Steven F Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072189 | Wood Cardiothoracic and Vascular Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Wood Cardiothoracic and Vascular Institute, LLC, 303 Bay Street, Ste. 201, Gadsden, AL 35901-5203 | 2020-08-07 |
| 1811306681 | Shannon Turney | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1515 Toney Dr Se, Huntsville, AL 35802-1249 | 2014-08-06 |
| 1356685416 | Advanced Wound Care and Limb Preservation, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3715 Dauphin St Ste 503b, Mobile, AL 36608-1773 | 2012-11-15 |
| 1851686091 | Trent Howard | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Road Ste 100, Vestavia, AL 35243 | 2011-06-16 |
| 1134393507 | Peter Shu Kuen Yu | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 703 Adams St Se, Huntsville, AL 35801-3706 | 2008-04-16 |
| 1487693982 | Carlton Duane Randleman Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2704 20th St S, Ste 100, Birmingham, AL 35209-1924 | 2006-06-06 |
| 1396791604 | Stanley K Lochridge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Road, Suite 100, Birmingham, AL 35243-2560 | 2006-05-26 |
| 1699737155 | John Stephen Thurber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Rd Ste 100, Vestavia, AL 35243-2560 | 2006-04-03 |
| 1235122177 | Evan Scott Cohen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Sivley Rd Sw, Suite 300, Huntsville, AL 35801-5134 | 2005-08-25 |
| 1639177470 | Peter N/a Pluscht IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1855 Springhill Ave, Mobile, AL 36607-2301 | 2005-07-13 |
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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.