Active NPI
Dustin Lash, D.O.
- Sports Medicine (Family Medicine) Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- DO.1478
- Practice address
- 2800 Ross Clark Cir Ste 2
Dothan, AL 36301-9917 - Phone
- (334) 239-0063
- NPI assigned
- Jun 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | P0845 | TX | |
| Family Medicine Physician | 207Q00000X | P0845 | TX | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | DO.1478 | AL | Primary |
Addresses
Primary practice location
2800 Ross Clark Cir Ste 2
Dothan, AL 36301-9917
Mailing address
2800 Ross Clark Cir Ste 2
Dothan, AL 36301-9917
Phone (334) 239-0063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169149 | Medicaid | AL | |
| 511-58601 | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2800 Ross Clark Cir
Suite 2
Dothan, AL 36301-9917
Phone (480) 262-5758
Hospital & facility affiliations
- Flowers Hospital
- Southeast Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 13.64 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 45.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0845 | TX | MD | Family Medicine Physician |
| DO.1478 | AL | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.B.J.S. PC | Current | Accepting new patients | |
| Lash Orthospine and Sports LLC | Sports Medicine | Current | Accepting new patients |
| SBJS PC | Sports Medicine | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663
2800 Ross Clark Cir
Ste 2
Dothan, AL 36301
Phone (334) 305-1848
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Dothan, AL
- NPI 1629853312
-
- Durable Medical Equipment & Medical Supplies
- Dothan, AL
- NPI 1972824993
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1639305246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 ROSS CLARK CIR STE 2",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363019917",
"telephone_number": "334-239-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 ROSS CLARK CIR STE 2",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363019917",
"telephone_number": "334-239-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASH",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-10",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "P0845",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P0845",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "AL",
"license": "DO.1478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169149",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "511-58601",
"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 Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.