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Dothan Anesthesiology Associates, P.C.

Details

Name: Dothan Anesthesiology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Jan 1991 (34 years ago) (Companies founded in January 1991)
Entity Number: 000-141-397
Register Number: 000141397
ZIP code: 36305 (Companies in Houston, 36305)
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 4370 WEST MAIN STREETDOTHAN, AL 36305
Authorized Capital: $1,200

Activities PRACTICE MEDICINE

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4WXS3 Obsolete Non-Manufacturer 2007-11-01 2022-12-13 2022-12-12 No data

Contact Information
POC KELLI SMITH
Phone +1 334-279-1450
Fax +1 334-395-4115
Address 4370 W MAIN ST, DOTHAN, AL, 36305 1056, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2023 631035114 2024-02-09 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2024-02-08
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2024-02-08
Name of individual signing KENNETH FLETCHER
DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2022 631035114 2023-01-27 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2023-01-27
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2023-01-27
Name of individual signing KENNETH FLETCHER
DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2021 631035114 2022-03-24 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2022-03-24
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2022-03-24
Name of individual signing KENNETH FLETCHER
DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2020 631035114 2021-03-17 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2021-03-17
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2021-03-17
Name of individual signing KENNETH FLETCHER
DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. PROFIT 2019 631035114 2020-03-31 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2020-03-31
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2020-03-31
Name of individual signing KENNETH FLETCHER
DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. PROFIT 2018 631035114 2019-06-13 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2019-06-13
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2019-06-13
Name of individual signing KENNETH FLETCHER
DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. PROFIT 2017 631035114 2018-04-25 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2018-04-25
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2018-04-25
Name of individual signing KENNETH FLETCHER
DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. PROFIT 2016 631035114 2017-04-12 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2017-04-12
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2017-04-12
Name of individual signing KENNETH FLETCHER
DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. PROFIT 2015 631035114 2016-04-28 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2016-04-28
Name of individual signing KENNETH FLETCHER
DOTHAN ANESTHESIOLOGY ASSOCIATES PC PROFIT 2014 631035114 2015-05-18 DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 3347945000
Plan sponsor’s address 4370 W MAIN STREET, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing KENNETH FLETCHER
Role Employer/plan sponsor
Date 2015-05-18
Name of individual signing KENNETH FLETCHER

Agent

Name Role
FLETCHER, KENNETH KENNETH Agent

Incorporator

Name Role
RIVAS, JORGE E MD Incorporator
WHITEHURST, RICHARD M MD Incorporator
FLETCHER, KENNETH C MD Incorporator

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD DJBP0308KB230020 2011-03-04 2011-03-11 2011-09-30
Unique Award Key CONT_AWD_DJBP0308KB230020_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAJB230077 2010-08-10 2010-08-10 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJB230077_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAJUB20008 2010-07-08 2010-07-08 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJUB20008_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES MEDICALLY NECESSARY
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAJB230046 2010-04-27 2010-06-03 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJB230046_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAJB230045 2010-03-31 2010-06-03 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJB230045_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAJB230044 2010-03-23 2010-06-03 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJB230044_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAJB230015 2009-11-17 2010-05-04 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJB230015_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAIB230065 2009-07-06 2010-05-03 2010-05-03
Unique Award Key CONT_AWD_DJBMNAIB230065_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAIB230030 2009-01-26 2010-05-04 2010-05-04
Unique Award Key CONT_AWD_DJBMNAIB230030_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAIB230047 2009-01-04 2010-05-04 2010-05-04
Unique Award Key CONT_AWD_DJBMNAIB230047_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ANESTHESIA SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient DOTHAN ANESTHESIOLOGY ASSOCIATES, P.C.
UEI CQ86ZLFR1KP5
Legacy DUNS 808160381
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056

Related by officers

No related officers

Related by address

DOTHAN, AL

A & M Electrical Construction Co., Inc. Acme Auction Company of Dothan, Inc. Acme Lease-A-Car, Inc. Acme Roofing and Sheet Metal Company, Inc. Adams Foods, Inc. Adams Trading Center Alabama Electric Company, Inc. of Dothan Art & Craft Hut, Inc. Southeastern Cabinet Co., Inc. Auto Electric Company of Alabama, Incorporated

4370 WEST MAIN STREETDOTHAN, AL 36305

Healing Grace LLC

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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