Dothan Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

10431 Issued in AL

Legal business name

DOTHAN SURGERY CENTER, LLC

Doing business as

Dothan Surgery Center

Practice address

1450 Ross Clark Cir
Suite 4
Dothan, AL 36301-4736

Phone

(334) 793-3442

Fax

(334) 793-3318

NPI assigned

Jul 19, 2005

Last updated

Jul 27, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Denise Davis Harrington, RN

Title

Administrator

Phone

(334) 793-3442

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dothan Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Dothan Surgery Center LLCCCN 01C0001039

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Houston County Healthcare Authority

  dba Southeast Alabama Medical Center

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1164403861

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• McKinley, P.C.

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1235436510

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1003815242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROSS CLARK CIR",
            "address_2": "SUITE 4",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014736",
            "telephone_number": "334-793-3442",
            "fax_number": "334-793-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROSS CLARK CIR",
            "address_2": "SUITE 4",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014736",
            "telephone_number": "334-793-3442",
            "fax_number": "334-793-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-793-3442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "10431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC0066C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dothan Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dothan Smiles Youth Dentistry, PC
• Dothan Spine & Specialty LLC
• Dothan Surgical Services, LLC
• Dothan Therapy Associates Inc (Physical Therapy Specialists of Dothan)
• Dothan Urology, PC
• Jennifer Dotson
• Walter J Doty III, MD

• Ambulatory Surgical Clinic/Center in Dothan, AL
• Providers in Dothan, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.