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DOTHAN HEMATOLOGY & ONCOLOGY P. C. NPI 1942393913


NPI Information

NPI: 1942393913
Provider Name: DOTHAN HEMATOLOGY & ONCOLOGY, P. C.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 01D0687538

Address:
287 HEALTHWEST DR
DOTHAN, AL
ZIP 36303
Phone: (334) 792-9500
Get Directions

DOTHAN HEMATOLOGY & ONCOLOGY, P. C. is a hematology and oncology internal medicine in Dothan, AL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DOTHAN HEMATOLOGY & ONCOLOGY, P. C. NPI is 1942393913. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

287 HEALTHWEST DR
DOTHAN, AL
ZIP 36303-031
Phone: (334) 792-9500
Fax: (334) 793-1815

The provider's authorized official is Nicole Fulford .
The authorized official title is Ofice Manager and has the following contact phone number (334) 792-9500.

The CLIA number assigned to this NPI record is 01D0687538 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 3/21/2016.


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
1207RH0003XInternal MedicineHematology & OncologyYes

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
1529201430MEDICAIDALABAMA
2CL0662MEDICARE PINALABAMA
30342610001MEDICARE NSCALABAMA
4529000120MEDICAIDALABAMA
50342610004MEDICARE NSCALABAMA
6I164MEDICARE PINALABAMA
7D357MEDICARE PINALABAMA

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: 11/14/2023

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