Active NPI
Innovative Healthcare, LLC
- Pediatrics Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- INNOVATIVE HEALTHCARE, LLC
- Practice address
- 200 Grove Park LN Ste 660
Dothan, AL 36305-5922 - Phone
- (334) 791-6910
- NPI assigned
- Mar 2, 2022
- Last updated
- Mar 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Claude T Ashley Jr., MD, PHD
- Title
- Manager/ Physician
- Phone
- (334) 791-6910
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
200 Grove Park LN Ste 660
Dothan, AL 36305-5922
Mailing address
200 Grove Park LN Ste 660
Dothan, AL 36305-5922
Phone (334) 791-6910
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2243664 | Innovative Healthcare LLC | Certificate of waiver | Nov 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
200 Grove Park Ln
Ste 660
Dothan, AL 36305
Phone (334) 791-6910
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Adolescent Medicine Physician
- Dothan, AL
- NPI 1194722397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1083361893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GROVE PARK LN STE 660",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363055922",
"telephone_number": "334-791-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GROVE PARK LN STE 660",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363055922",
"telephone_number": "334-791-6910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "ASHLEY",
"authorized_official_first_name": "CLAUDE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MANAGER/ PHYSICIAN",
"authorized_official_telephone_number": "334-791-6910",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
- Impact Behavioral Services
- Syeda Hooria Imtiaz
- Infusion Centers of the Southeast LLC
- Chelsea Ingram, CPNP
- Emily Ingram, CRNP
- Instilling Hope Professional Counseling Services LLC
- Institutional Pharmacy Solutions, LLC
- Internal Medicine & Pediatric Consultants
- Internal Medicine Associates of Dothan, P.a.
- Deborah Martin Irby, HIS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.