L. Dwight Baker, M.D., P.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

8343 Issued in AL

Legal business name

L. DWIGHT BAKER, M.D., P.C.

Doing business as

Dothan Plastic Surgery

Practice address

105 Professional LN
Dothan, AL 36303-3875

Phone

(334) 793-3113

Fax

(334) 671-2894

NPI assigned

Jul 11, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Shayne Mathews

Title

Office Manager

Phone

(334) 793-3113

Specialties & licenses 2

Addresses

Other names 1

• Dothan Plastic Surgery Doing business as

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1811285968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033875",
            "telephone_number": "334-793-3113",
            "fax_number": "334-671-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033875",
            "telephone_number": "334-793-3113",
            "fax_number": "334-671-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. DWIGHT BAKER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "SHAYNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-793-3113",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "8343",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "31063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dothan Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Kronstadt-Trapasso, OTR/L
• Adam Joseph Krukas, PHARMD
• Frances Juanita Krumnow
• Sara Carroll Krystyn, CRNP
• Baylea Jade Kyle
• L. Terry Pynes
• Michael John Labanowski, M.D.
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corportation of America Holdings

• Plastic and Reconstructive Surgery Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Plastic and Reconstructive Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.