Brian Vernon Wiethop (NPI# 1851375679, PAC ID# 5698679769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1851375679 |
| PAC ID by PECOS | 5698679769 |
| Professional Enrollment ID | I20110119001216 |
| Full Name | Brian Vernon Wiethop |
| Organization Legal Name | DOTHAN MEDICAL ASSOCIATES, P.C. |
| Address |
1118 Ross Clark Cir Suite 100 Dothan AL 36301-3023 |
| Phone Number | 3347941148 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7416848247 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010001 | SOUTHEAST ALABAMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 | 3347941148 | DOTHAN MEDICAL ASSOCIATES, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 84% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 98% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 9% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 99% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 12% |
| Organization Legal Name | DOTHAN MEDICAL ASSOCIATES, P.C. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Thomas Evans Jr. | Nurse Practitioner | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| Edmund G Lacour | Rheumatology | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| Akinola O Ayodeji | Endocrinology | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| Kenneth B Tucker | Internal Medicine | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| William B Hundley | Internal Medicine | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| Sai K Avula | Internal Medicine | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| Elizabeth B Tucker | Internal Medicine | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| Steven D Wise | Endocrinology | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| John Lowery Stone | Endocrinology | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| Walter J Doty Iii | Internal Medicine | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| Street Address |
1118 ROSS CLARK CIR SUITE 100 |
| City | DOTHAN |
| State | AL |
| Zip | 36301-3023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy Middleton | Obstetrics/gynecology | Dothan Obgyn, Inc. | 1118 Ross Clark Cir, Suite 402, Dothan, AL 36301-3002 |
| Justin L Casey | Nurse Practitioner | Fairview Clinic, P.C. | 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002 |
| Jean A Robbins | Certified Registered Nurse Anesthetist (crna) | Houston County Healthcare Authority | 1118 Ross Clark Cir, Suite 502, Dothan, AL 36301-3001 |
| John Thomas Evans Jr. | Nurse Practitioner | Dothan Medical Associates, P.C. | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3023 |
| William E Reynolds Jr. | Internal Medicine | Houston County Healthcare Authority | 1118 Ross Clark Cir, Dothan, AL 36301-3030 |
| Amber A Williams | Nurse Practitioner | Houston County Healthcare Authority | 1118 Ross Clark Cir, Suite 500, Dothan, AL 36301-3030 |
| Sarah E Dalvine | Nurse Practitioner | Houston County Healthcare Authority | 1118 Ross Clark Cir, Suite 200, Dothan, AL 36301-3029 |
| Fiona I Masters | Internal Medicine | Fairview Clinic, P.C. | 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3002 |
| Krishnamohan R Basarakodu | Medical Oncology | Houston County Healthcare Authority | 1118 Ross Clark Cir, Suite 502, Dothan, AL 36301-3001 |
| Shannon Skaug | Nurse Practitioner | Houston County Healthcare Authority | 1118 Ross Clark Cir, Suite 200, Dothan, AL 36301-3029 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracey Carter | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| David D Gayle | Cardiac Electrophysiology | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Melissa Watkins | Nurse Practitioner | Pulmonary Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Brittney H Edge | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Sylvia J Rushing | Interventional Cardiology | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Michael E. Pinson | Cardiovascular Disease (cardiology) | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Magan B Parker | Nurse Practitioner | Cardiology Associates, Pa | 1118 Ross Cir, Suite 501, Dothan, AL 36301 |
| Emmalyn A Bady-mcdowell | Psychiatry | 4300 Main St W, Suite 102, Dothan, AL 36301-1051 | |
| Faye E Rao | Cardiovascular Disease (cardiology) | Cardiology Associates, Pa | 4300 W Main St, Suite 102, Dothan, AL 36301-1051 |
| Simon R Brooks | Interventional Cardiology | Cardiology Associates, Pa | 4300 W Main St, Suite 102, Dothan, AL 36301-1051 |
| Find all physicians in zip 36301 | |||
| City | DOTHAN |
| Zip Code | 36301 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | DOTHAN + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Brian Vernon Wiethop.
| 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.