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OBSTETRICS & GYNECOLOGY OF DOTHAN INC NPI 1114021409


NPI Information

NPI: 1114021409
Provider Name: OBSTETRICS & GYNECOLOGY OF DOTHAN INC

Doing Business As: LADIES FIRST

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 01D0989955

Address:
104 MEDICAL DR
DOTHAN, AL
ZIP 36303
Phone: (334) 671-9445
Get Directions

OBSTETRICS & GYNECOLOGY OF DOTHAN INC is an obstetrics gynecology in Dothan, AL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBSTETRICS & GYNECOLOGY OF DOTHAN INC NPI is 1114021409. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ladies First.

The provider's business location address is:

104 MEDICAL DR
DOTHAN, AL
ZIP 36303
Phone: (334) 671-9445
Fax: (334) 836-0059

The provider's authorized official is Dana Gaylord .
The authorized official title is Administrative Assistant and has the following contact phone number (334) 671-9445.

The CLIA number assigned to this NPI record is 01D0989955 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/8/2006 and was last updated on 12/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology23245ALABAMANo
2207V00000XObstetrics & GynecologyDO1161ALABAMANo
3207V00000XObstetrics & Gynecology31759ALABAMANo
4207V00000XObstetrics & Gynecology31756ALABAMANo
5207V00000XObstetrics & Gynecology32437ALABAMANo
6363A00000XPhysician AssistantPA-204ALABAMANo
7363LX0001XNurse PractitionerObstetrics & Gynecology1006758ALABAMANo
8207V00000XObstetrics & GynecologyALABAMANo
9207V00000XObstetrics & Gynecology26014ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C47766OTHERMEDICAL PROTECTIVE
2529928670OTHERMEDICAID GROUP
31826OTHERMEDICARE GROUP NUMBER
4051502953MEDICAIDALABAMA
5051520983MEDICARE PINALABAMA
601D2068157OTHERCLIA WAVIER
701D2074304OTHERCLIA WAIVED
8051502953MEDICARE PINALABAMA
901D2043043OTHERALABAMACLIA WAIVED
1001D2052896OTHERALABAMACLIA WAIVED
1101D0989955OTHERCLIA WAIVED
12051520983MEDICAIDALABAMA
13G79967MEDICARE UPIN
14I14449MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.