| Craig A Nordhues, MD | |
|
1108 Ross Clark Cir, Dothan, AL 36301-3022 | |
| (334) 793-5105 | |
| (334) 671-5073 |
| Full Name | Craig A Nordhues |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1108 Ross Clark Cir, Dothan, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376528414 | NPI | - | NPPES |
| 51548349 | Other | AL | BCBS OF AL |
| 795265352A | Medicaid | GA | |
| 51548352 | Other | AL | BCBS OF AL |
| 100729 | Medicaid | AL | |
| 51548351 | Other | AL | BCBS OF AL |
| 100725 | Medicaid | AL | |
| 100727 | Medicaid | AL | |
| 51548354 | Other | AL | BCBS OF AL |
| 100730 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 102394 (Missouri) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | 102394 (Missouri) | Secondary |
| Entity Name | Anesthesia Consultants Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902885874 PECOS PAC ID: 8628975935 Enrollment ID: O20031216000012 |
| Entity Name | Southern Alabama Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346349164 PECOS PAC ID: 2062461460 Enrollment ID: O20050112000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig A Nordhues, MD 1118 Ross Clark Cir, Suite 700, Dothan, AL 36301-3001 Ph: (334) 793-5105 | Craig A Nordhues, MD 1108 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 793-5105 |
David Tyler Warren, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 | |
Kyle Morris Jones, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Stephen L Hughes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Anesthesia Dept, Dothan, AL 36305 Phone: 334-794-5000 | |
Dr. Steven H Sykes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Circle, Ste 700, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Jeremy Bernard Smith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 | |
Dr. Jeffrey S Graham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Circle, Suite 700, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Matthew T Jennings, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 |