Dothan Pain Center LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

DOTHAN PAIN CENTER LLC

Practice address

318 Westgate Pkwy
Suite 2
Dothan, AL 36303-2963

Phone

(334) 702-9445

Fax

(334) 702-9465

NPI assigned

Feb 11, 2014

Last updated

Feb 18, 2014By 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

Dr. Robert Shedden, D.O.NPI 1144284951

Title

Owner

Phone

(334) 702-9445

Specialties & licenses 3

Addresses

Locations

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.

• Robert D Shedden, DO

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Dothan, AL
  • NPI 1144284951
  Authorized official Same address or phone

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1851715833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WESTGATE PKWY",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032963",
            "telephone_number": "334-702-9445",
            "fax_number": "334-702-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WESTGATE PKWY",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032963",
            "telephone_number": "334-702-9445",
            "fax_number": "334-702-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "SHEDDEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-702-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dothan Medical Associates, P.C.
• Dothan Neurodiagnostic Center PC
• Dothan Neurology Clinic, PC
• Dothan OBGYN, Inc.
• Dothan Ophthalmology
• Dothan Pediatric Clinic, P. a.
• Dothan Pediatric Clinic, P. a. (Dothan Pediatric Subspecialty Clinic)
• Dothan Pharmacy LLC (Dothan Pharmacy)
• Dothan Primary Care LLC (Dothan Family Practice)
• Dothan Professional Counseling Services

• Addiction Medicine (Family Medicine) Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Addiction Medicine (Family Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.