Healthcare Provider Details

I. General information

NPI: 1316109978
Provider Name (Legal Business Name): SCOTT ALAN ASHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 ROSS CLARK CIR
DOTHAN AL
36303-2525
US

IV. Provider business mailing address

3400 ROSS CLARK CIR STE 2
DOTHAN AL
36303-2525
US

V. Phone/Fax

Practice location:
  • Phone: 334-699-7477
  • Fax: 334-305-2199
Mailing address:
  • Phone: 334-699-7477
  • Fax: 334-305-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME121042
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberME121042
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberME121042
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberME121042
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License NumberME121042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: