Active NPI
Dothan Spine & Specialty LLC
- General Practice Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2089
- Legal business name
- DOTHAN SPINE & SPECIALTY LLC
- Practice address
- 412 N Foster St
Dothan, AL 36303-4545 - Phone
- (334) 793-1081
- Fax
- (334) 792-7600
- NPI assigned
- Jan 6, 2016
- 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
- Paul D Weeks, D.C.
- Title
- President
- Phone
- (334) 793-1081
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2089 | AL | Primary |
Addresses
Primary practice location
412 N Foster St
Dothan, AL 36303-4545
Mailing address
412 N Foster St
Dothan, AL 36303-4545
Phone (334) 793-1081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529928260 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2970 Ross Clark Cir
Ste 1
Dothan, AL 36301
Phone (334) 305-0222
412 N Foster St
Dothan, AL 36303
Phone (334) 793-1081
1817 S Oates St
Dothan, AL 36301
Phone (334) 793-1081
2970 Ross Clark Cir
Ste 1G
Dothan, AL 36301
Phone (334) 793-1081
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Chiropractor
- Dothan, AL
- NPI 1790894277
-
- Psychiatry Physician
- Dothan, AL
- NPI 1083079453
-
- Emergency Medicine Physician
- Auburn, AL
- NPI 1811936453
-
- Physical Therapist
- Port St Joe, FL
- NPI 1043339955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492473600000",
"number": "1104282292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 N FOSTER ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363034545",
"telephone_number": "334-793-1081",
"fax_number": "334-792-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 N FOSTER ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363034545",
"telephone_number": "334-793-1081",
"fax_number": "334-792-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOTHAN SPINE & SPECIALTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-06",
"last_updated": "2017-04-18",
"status": "A",
"authorized_official_last_name": "WEEKS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-793-1081",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "AL",
"license": "2089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529928260",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.