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Dothan OBGYN, Inc.

Details

Name: Dothan OBGYN, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 09 May 2001 (24 years ago)
Entity Number: 000-216-416
Register Number: 000216416
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 2346 W MAIN ST STE 4DOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301
Authorized Capital: $1,000
Paid Share Capital: $100

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427122514 2006-11-20 2022-07-21 1118 ROSS CLARK CIR, SUITE 402, DOTHAN, AL, 363013001, US 1118 ROSS CLARK CIR, SUITE 402, DOTHAN, AL, 363013001, US

Contacts
Phone +1 334-673-3633
Fax 3348362893

Authorized person
Name DR. THOMAS WILKES-COLEMAN ROBINSON
Role PRESIDENT
Phone 3346733633

Taxonomy
Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOTHAN OBGYN, INC. 401(K) PLAN 2023 631274940 2024-07-09 DOTHAN OBGYN, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 36301
DOTHAN OBGYN, INC. 401(K) PLAN 2022 631274940 2023-07-24 DOTHAN OBGYN, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 36301
DOTHAN OBGYN, INC. 401K PLAN 2021 631274940 2022-06-21 DOTHAN OBGYN, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002

Plan administrator’s name and address
Administrator’s EIN 631274940
Plan administrator’s name DOTHAN OBGYN, INC.
Plan administrator’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002
Administrator’s telephone number 3346733633

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing THOMAS ROBINSON
DOTHAN OBGYN, INC. 401K PLAN 2020 631274940 2021-03-05 DOTHAN OBGYN, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002

Plan administrator’s name and address
Administrator’s EIN 631274940
Plan administrator’s name DOTHAN OBGYN, INC.
Plan administrator’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002
Administrator’s telephone number 3346733633

Signature of
Role Plan administrator
Date 2021-03-05
Name of individual signing THOMAS ROBINSON
DOTHAN OBGYN, INC. 401K PLAN 2019 631274940 2020-07-16 DOTHAN OBGYN, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002

Plan administrator’s name and address
Administrator’s EIN 631274940
Plan administrator’s name DOTHAN OBGYN, INC.
Plan administrator’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002
Administrator’s telephone number 3346733633

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing THOMAS ROBINSON
DOTHAN OBGYN, INC. 401K PLAN 2018 631274940 2019-03-11 DOTHAN OBGYN, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002

Plan administrator’s name and address
Administrator’s EIN 631274940
Plan administrator’s name DOTHAN OBGYN, INC.
Plan administrator’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002
Administrator’s telephone number 3346733633

Signature of
Role Plan administrator
Date 2019-03-11
Name of individual signing THOMAS ROBINSON
DOTHAN OBGYN, INC. 401K PLAN 2017 631274940 2018-02-15 DOTHAN OBGYN, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002

Plan administrator’s name and address
Administrator’s EIN 631274940
Plan administrator’s name DOTHAN OBGYN, INC.
Plan administrator’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002
Administrator’s telephone number 3346733633

Signature of
Role Plan administrator
Date 2018-02-15
Name of individual signing THOMAS ROBINSON
DOTHAN OBGYN, INC. 401K PLAN 2016 631274940 2017-08-01 DOTHAN OBGYN, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002

Plan administrator’s name and address
Administrator’s EIN 631274940
Plan administrator’s name DOTHAN OBGYN, INC.
Plan administrator’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002
Administrator’s telephone number 3346733633

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing THOMAS ROBINSON
DOTHAN OBGYN, INC. 401K PLAN 2015 631274940 2016-07-05 DOTHAN OBGYN, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002

Plan administrator’s name and address
Administrator’s EIN 631274940
Plan administrator’s name DOTHAN OBGYN, INC.
Plan administrator’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002
Administrator’s telephone number 3346733633

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing THOMAS ROBINSON
DOTHAN OBGYN, INC. 401K PLAN 2014 631274940 2015-02-19 DOTHAN OBGYN, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3346733633
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002

Plan administrator’s name and address
Administrator’s EIN 631274940
Plan administrator’s name DOTHAN OBGYN, INC.
Plan administrator’s address 1118 ROSS CLARK CIRCLE, SUITE 402, DOTHAN, AL, 363013002
Administrator’s telephone number 3346733633

Signature of
Role Plan administrator
Date 2015-02-19
Name of individual signing THOMAS ROBINSON

Agent

Name Role
ROBINSON, THOMAS W C Agent

Incorporator

Name Role
ROBINSON, THOMAS W C Incorporator

Related by officers

ROBINSON, THOMAS W C

Wiregrass OB/Gyn Investments, L.L.C.

Related by address

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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