NPIMap

Organization Active NPI

Dothan Hematology & Oncology PC

  • Hematology & Oncology Physician
  • Dothan, AL
National Provider Identifier
1942393913
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
DOTHAN HEMATOLOGY & ONCOLOGY PC
Practice address
287 Healthwest Dr
Dothan, AL 36303-2031
Phone
(334) 792-9500
Fax
(334) 793-1815
NPI assigned
Oct 2, 2006
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Mrs. Lisa Spence
Title
Office Manager
Phone
(334) 792-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

287 Healthwest Dr
Dothan, AL 36303-2031

Mailing address

287 Healthwest Dr
Dothan, AL 36303-2031
Phone (334) 792-9500

Other practice location 1

101 Westside Dr
Dothan, AL 36303-1908
Phone (334) 792-9500

Other identifiers 1

IdentifierTypeStateIssuer
529201430MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812001249 AL Part B Supplier - Clinic/Group Practice 7517930118 Receives reassigned benefits from 17 practitioners
Practice locations: Dothan, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2330473Dothan Hematology && Oncology, PC101 Westside Drive, Dothan, AL 36303RegistrationSep 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dothan Hematology Oncology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Westside Dr
Dothan, AL 36303
Phone (334) 792-9500

1118 Ross Clark Cir
Ste 200
Dothan, AL 36301
Phone (334) 793-4804

287 Healthwest Dr
Dothan, AL 36303
Phone (334) 792-9500

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1942393913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032031",
            "telephone_number": "334-792-9500",
            "fax_number": "334-793-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032031",
            "telephone_number": "334-792-9500",
            "fax_number": "334-793-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 WESTSIDE DR",
            "address_purpose": "LOCATION",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031908",
            "country_code": "US",
            "telephone_number": "334-792-9500",
            "fax_number": "334-793-2523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOTHAN HEMATOLOGY & ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-792-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529201430",
            "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 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.