WIREGRASS SURGICAL ASSOCIATES P.C. NPI 1750387833

NPI Information

  • NPI: 1750387833
  • Provider Name: WIREGRASS SURGICAL ASSOCIATES, P.C.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • CLIA Number: 01D1083033
  • Address: 1118 ROSS CLARK CIR
    STE 310
    DOTHAN, AL
    ZIP 36301
  • Phone: (334) 793-1534

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NPI Details

WIREGRASS SURGICAL ASSOCIATES, P.C. is a vascular surgery surgery in Dothan, AL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. WIREGRASS SURGICAL ASSOCIATES, P.C. NPI is 1750387833. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1118 ROSS CLARK CIR
STE 310
DOTHAN, AL
ZIP 36301-002
Phone: (334) 793-1534
Fax: (334) 793-6991

The provider's authorized official is Steven M. Fendley .
The authorized official title is President and has the following contact phone number (334) 793-1534.

The CLIA number assigned to this NPI record is 01D1083033 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery0074230ALABAMANo
22086S0129XSurgeryVascular Surgery0074230ALABAMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000003047248OTHERALABAMAPHCS GROUP ID #

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: 11/21/2025

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