| Digestive Health Specialist Of The Southeast | |
|
480 Honeysuckle Rd Dothan AL 36305 | |
| (334) 836-1212 | |
| (334) 836-1888 |
| Full Name | Digestive Health Specialist Of The Southeast |
|---|---|
| Speciality | Internal Medicine |
| Location | 480 Honeysuckle Rd, Dothan, Alabama |
| Authorized Official Name and Position | Robert N Gwin (ADMINISTRATOR CEO) |
| Authorized Official Contact | 3348361212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health Specialist Of The Southeast 480 Honeysuckle Rd Dothan AL 36305 Ph: (334) 836-1212 | Digestive Health Specialist Of The Southeast 480 Honeysuckle Rd Dothan AL 36305 Ph: (334) 836-1212 |
| NPI Number | 1073566006 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 3375589799 |
|---|---|
| Medicare Enrollment ID | O20050707000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073566006 | NPI | - | NPPES |
| 2552348 | Other | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Stephen Cannon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790737294 PECOS PAC ID: 7618969924 Enrollment ID: I20040330000592 |
| Provider Name | Robert Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992766703 PECOS PAC ID: 4789678095 Enrollment ID: I20040412000033 |
| Provider Name | Tami B Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457427858 PECOS PAC ID: 4284629569 Enrollment ID: I20040416000487 |
| Provider Name | Jerry Lee Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821053901 PECOS PAC ID: 8022005032 Enrollment ID: I20040429001145 |
| Provider Name | Lisa Lynn Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336100130 PECOS PAC ID: 6608853833 Enrollment ID: I20040706000575 |
| Provider Name | Cody B Barnett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477642890 PECOS PAC ID: 1658330022 Enrollment ID: I20041011000254 |
| Provider Name | Travis J Rutland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518922087 PECOS PAC ID: 6709843642 Enrollment ID: I20041213000779 |
| Provider Name | Reynaldo L Rodriguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023055340 PECOS PAC ID: 3375583099 Enrollment ID: I20050511000842 |
| Provider Name | Samuel J Tarwater |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225080906 PECOS PAC ID: 9335126374 Enrollment ID: I20050711000777 |
| Provider Name | Jeffrey J Crittenden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043264336 PECOS PAC ID: 7517944556 Enrollment ID: I20050711000796 |
| Provider Name | Robert Philip Albares |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225081177 PECOS PAC ID: 2163409103 Enrollment ID: I20050711000816 |
| Provider Name | William Mclaughlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104870971 PECOS PAC ID: 8527045566 Enrollment ID: I20050711000846 |
| Provider Name | Daniel F Jackson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922052794 PECOS PAC ID: 5890772834 Enrollment ID: I20050712000499 |
| Provider Name | Jonathan D Siegel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639110224 PECOS PAC ID: 9436161379 Enrollment ID: I20060615000152 |
| Provider Name | Calvin Sylvester Mann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386607703 PECOS PAC ID: 1658375894 Enrollment ID: I20060831000185 |
| Provider Name | Susan B Fleet |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053318030 PECOS PAC ID: 4880680644 Enrollment ID: I20060901000240 |
| Provider Name | Ronald Hedderich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891725529 PECOS PAC ID: 8628962321 Enrollment ID: I20070102000229 |
| Provider Name | Alison W Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376617050 PECOS PAC ID: 4183724362 Enrollment ID: I20070717000737 |
| Provider Name | Beth M Rutland |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710079835 PECOS PAC ID: 6103909437 Enrollment ID: I20080211000273 |
| Provider Name | Wendy A Windham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629035126 PECOS PAC ID: 8325122724 Enrollment ID: I20080225000143 |
| Provider Name | Charles W Rutter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700992542 PECOS PAC ID: 9335242155 Enrollment ID: I20081229000052 |
| Provider Name | Grace Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659447050 PECOS PAC ID: 6406905975 Enrollment ID: I20090513000266 |
| Provider Name | Shea Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891861290 PECOS PAC ID: 1658420120 Enrollment ID: I20090513000298 |
| Provider Name | Becky R Cazenave |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477792547 PECOS PAC ID: 4981753332 Enrollment ID: I20090514000436 |
| Provider Name | Carol M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417023813 PECOS PAC ID: 3870642143 Enrollment ID: I20090515000037 |
| Provider Name | Peter E Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669426425 PECOS PAC ID: 8123073814 Enrollment ID: I20110526000476 |
| Provider Name | Michael K Sanders |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275554636 PECOS PAC ID: 8628040383 Enrollment ID: I20110615000797 |
| Provider Name | William H Hass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801871637 PECOS PAC ID: 5395739437 Enrollment ID: I20111031000690 |
| Provider Name | Tony Marrone Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124001433 PECOS PAC ID: 7911076021 Enrollment ID: I20120731000758 |
| Provider Name | Dana M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609049550 PECOS PAC ID: 9638215999 Enrollment ID: I20120823000304 |
| Provider Name | John C Lavelle |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538379870 PECOS PAC ID: 4082766746 Enrollment ID: I20121120000372 |
| Provider Name | Amy C Ethridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396044426 PECOS PAC ID: 3274786983 Enrollment ID: I20130109000080 |
| Provider Name | Susan E Broyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720352818 PECOS PAC ID: 6608029251 Enrollment ID: I20130109000483 |
| Provider Name | Nicholas C Mendheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992055883 PECOS PAC ID: 3476706029 Enrollment ID: I20130109000518 |
| Provider Name | Gypsy Rain Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689932022 PECOS PAC ID: 5092955484 Enrollment ID: I20130708000623 |
| Provider Name | Misty E Grimes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043502115 PECOS PAC ID: 6709063605 Enrollment ID: I20131029000352 |
| Provider Name | Adam L Edwards |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649560806 PECOS PAC ID: 0840437687 Enrollment ID: I20140507000523 |
| Provider Name | George A Nelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790075950 PECOS PAC ID: 5395982995 Enrollment ID: I20140515001292 |
| Provider Name | Brenda H Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073672119 PECOS PAC ID: 8921199563 Enrollment ID: I20150327002169 |
| Provider Name | Marc Clark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609982081 PECOS PAC ID: 7911896766 Enrollment ID: I20150519000988 |
| Provider Name | Loan L Vu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780909879 PECOS PAC ID: 3870769557 Enrollment ID: I20150618000915 |
| Provider Name | Nicole Fennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619376274 PECOS PAC ID: 8022237908 Enrollment ID: I20150825004750 |
| Provider Name | Scott A Sarrels |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588981872 PECOS PAC ID: 9537306360 Enrollment ID: I20150918000676 |
| Provider Name | Breeann Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679941884 PECOS PAC ID: 5496065914 Enrollment ID: I20151112000449 |
| Provider Name | Colleen D Mellown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245278274 PECOS PAC ID: 7315959897 Enrollment ID: I20160317000952 |
| Provider Name | Kristy Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194147629 PECOS PAC ID: 9436371242 Enrollment ID: I20160524001048 |
| Provider Name | Paul B Lamb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386769404 PECOS PAC ID: 6901061043 Enrollment ID: I20160601002901 |
| Provider Name | Panayiotis Petros Grevenitis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073834792 PECOS PAC ID: 2769603661 Enrollment ID: I20160719000754 |
| Provider Name | Carmen Ryan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770021016 PECOS PAC ID: 1254617178 Enrollment ID: I20170407001013 |
| Provider Name | Lynette M Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366987208 PECOS PAC ID: 5092092684 Enrollment ID: I20170509001260 |
| Provider Name | Tamolette J Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417938945 PECOS PAC ID: 6709862758 Enrollment ID: I20170517000186 |
| Provider Name | Tyler Paul Black |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669762761 PECOS PAC ID: 9032405030 Enrollment ID: I20170803001291 |
| Provider Name | Lawrence J Grench |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134195696 PECOS PAC ID: 0648298752 Enrollment ID: I20180828002086 |
| Provider Name | Merrill Philip Bacon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225053903 PECOS PAC ID: 0042208670 Enrollment ID: I20181002000193 |
| Provider Name | Michael E. Bagwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679510895 PECOS PAC ID: 0840228813 Enrollment ID: I20190318000856 |
| Provider Name | Morgan Ryals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295322311 PECOS PAC ID: 5092120865 Enrollment ID: I20210209002654 |
| Provider Name | Amanda Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205500386 PECOS PAC ID: 2062817182 Enrollment ID: I20210826002708 |
| Provider Name | Erica Littlefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063186120 PECOS PAC ID: 9739584780 Enrollment ID: I20210830000810 |
| Provider Name | Heather Y Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003480716 PECOS PAC ID: 6305238981 Enrollment ID: I20220111000470 |
| Provider Name | Alexia Kristianna Vasquez Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750053088 PECOS PAC ID: 4284001884 Enrollment ID: I20221111000900 |
| Provider Name | Benjamin Hewitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982145181 PECOS PAC ID: 5799109294 Enrollment ID: I20230817000811 |
Wiregrass Wound Care Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1908 Fairview Ave, Dothan, AL 36301 Phone: 251-295-2815 Fax: 251-295-2815 | |
Dothan Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1891 Honeysuckle Rd Ste 2a, Dothan, AL 36305 Phone: 334-794-6504 Fax: 334-793-4452 | |
Primecare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4126 West Main Street, Dothan, AL 36305 Phone: 334-793-2120 Fax: 334-671-2930 | |
Samc-houston Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Fairview Ave, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901 | |
Southern Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 Melba Dr, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614 | |
Carnes Chiropractic And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2323 W Main St Ste 109, Dothan, AL 36301 Phone: 334-794-2225 | |
Sha Diabetes Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 172 Luds Way, Dothan, AL 36304 Phone: 334-475-0646 Fax: 334-888-8445 |