Anthony Spedale (NPI# 1699778662, PAC ID# 1052491594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1699778662 |
| PAC ID by PECOS | 1052491594 |
| Professional Enrollment ID | I20100517000099 |
| Full Name | Anthony Spedale |
| Organization Legal Name | WIREGRASS CLINIC LLC |
| Address |
210 Westside Dr Dothan AL 36303-1928 |
| Phone Number | 3347935074 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860662491 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010055 | FLOWERS HOSPITAL |
| 010001 | SOUTHEAST ALABAMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 Westside Dr, Dothan, AL 36303-1928 | 3347935074 | WIREGRASS CLINIC LLC |
| 4300 W Main St, Dothan, AL 36305-1058 | WIREGRASS CLINIC LLC |
| Organization Legal Name | WIREGRASS CLINIC LLC |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meaghan S Taylor | Nurse Practitioner | Wiregrass Clinic LLC | 2910 Hospital Dr, Bonifay, FL 32425-4268 |
| Ivan D Jackson | Internal Medicine | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Jennifer M Parrish | Nurse Practitioner | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Emily Jones | Family Medicine | Wiregrass Clinic LLC | 108 Medical Dr, Dothan, AL 36303-6902 |
| Samantha P Carter | Nurse Practitioner | Wiregrass Clinic LLC | 4300 W Main St, Suite 16, Dothan, AL 36305-1310 |
| Charles J Carpenter Jr. | General Surgery | Wiregrass Clinic LLC | 4370 W Main St, Dothan, AL 36305-1056 |
| J. Douglas Duke Ii | General Surgery | Wiregrass Clinic LLC | 4370 W Main St, Dothan, AL 36305-1056 |
| Jason Lee Cox | Nurse Practitioner | Wiregrass Clinic LLC | 4300 W Main St, Suite 21, Dothan, AL 36305-1058 |
| Tina Cochran | Nurse Practitioner | Wiregrass Clinic LLC | 4300 W Main St, Suite 41, Dothan, AL 36305-1318 |
| John J Marsella Jr. | Anesthesiology | Wiregrass Clinic LLC | 4300 W Main St, Suite 405, Dothan, AL 36305-1086 |
| Street Address |
210 WESTSIDE DR |
| City | DOTHAN |
| State | AL |
| Zip | 36303-1928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan D Jackson | Internal Medicine | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Ashley P Pippin | Nurse Practitioner | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Kelli L Mcallister | Nurse Practitioner | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Clifford E Sloop Iv | Nurse Practitioner | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| William S Davis | Family Medicine | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Robert J. Fincher | Internal Medicine | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Russell Lee Bedsole | Internal Medicine | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Calvin L. Reid | Internal Medicine | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Paola R Bass | Internal Medicine | Wiregrass Clinic LLC | 210 Westside Dr, Dothan, AL 36303-1928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Amanda L Day | Physician Assistant | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Emily Ingram | Nurse Practitioner | American Family Care Inc | 2445 Murphy Mill Rd, Dothan, AL 36303-1595 |
| Benjamin L Sneed | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Mary E Weaver | Emergency Medicine | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Michael B Nance | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jason M Martin | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jennifer M Parrish | Nurse Practitioner | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Hassan Kesserwani | Neurology | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Melanie K Cotter | Psychologist, Clinical | 100 Westside Dr, Dothan, AL 36303-1908 | |
| Find all physicians in zip 36303 | |||
| City | DOTHAN |
| Zip Code | 36303 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DOTHAN + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.