DR. MICHAEL EDWARD POWELL (NPI# 1164552220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164552220 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD POWELL |
| Credential | MD |
| Practice Address |
1702 Bent Pine Ln Statham GA 30666-2602 |
| Practice Telephone | 7065483342 |
| Mailing Telephone | 7065483342 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2017-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
GA20589 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1174856942 | Michael J Powell | Psychologist | 173 Ridgeview Dr, Berkeley Springs, WV 25411-5188 | 2009-09-11 |
| 1497995054 | Michael Powell | Physical Therapist | 209 Riverwind E, Suite B, Pearl, MS 39208 | 2009-02-23 |
| 1508069683 | Michael Antonio Powell | Counselor | 101 N Court Sq, Office 18, Lumberton, NC 28358-5579 | 2007-06-07 |
| 1437371556 | Michael Charles Powell | Registered Nurse | 501 Nobottom Rd, Berea, OH 44017 | 2007-05-02 |
| 1710031349 | Michael S Powell | Pediatrics | 600 Saint Clair Ave Sw Ste 1, Building 1, Huntsville, AL 35801-5057 | 2007-01-22 |
| 1417024829 | Michael Powell | Chiropractor | 417 Chase Rd # A, Dartmouth, MA 02747-5131 | 2006-11-29 |
| 1346272341 | Michael Jerry Powell | Internal Medicine | 103 Providence Mine Rd., Suite 102, Nevada City, CA 95959 | 2006-07-07 |
| 1225000813 | Michael K Powell | Chiropractor | 1310 Tower Ln Ne, Cedar Rapids, IA 52402-7488 | 2006-02-07 |
| 1770577835 | Michael R Powell | Chiropractor | 510 22nd Avenue E, Suite 701, Alexandria, MN 56308 | 2005-09-06 |
| Street Address |
1702 BENT PINE LN |
| City | STATHAM |
| State | GA |
| Zip Code | 30666-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689857195 | Statham Family Practice PC | Family Medicine | 1906 Railroad St, Suite C, Statham, GA 30666 | 2007-12-07 |
| 1447442959 | Statham Medical Clinic | General Practice | 337 Jefferson St., Statham, GA 30666 | 2007-08-17 |
| 1487703245 | Felipe Reyes Musngi | Family Medicine | 337 Jefferson Street, Statham, GA 30666 | 2007-01-10 |
| 1962402461 | Steven Alan Durocher | Emergency Medicine | 1906 Railroad Street, Ste C, Statham Family Practice, PC, Statham, GA 30666 | 2005-07-26 |
| 1639530868 | Statham City Pharmacy LLC | Pharmacy | 333 Jefferson St, Statham, GA 30666 | 2016-03-16 |
| 1356792337 | Matthew Fitzpatrick | Pharmacist | 1860 High Green Dr, Statham, GA 30666-1673 | 2016-06-30 |
| 1164844296 | Statham City Pharmacy | Pharmacy | 333 Jefferson St, Statham, GA 30666-1710 | 2014-01-08 |
| 1770522674 | Barrow-statham Pharmacy | Pharmacist | 333 Jefferson St, Statham, GA 30666-1710 | 2006-06-06 |
| 1295393643 | Tina K Williams | Behavior Technician | 189 Village Pass, Statham, GA 30666-1713 | 2019-05-31 |
| 1841504511 | Melindas Guardian Angel Personal Care Home | Community Based Residential Treatment Facility, Mental Illness | 593 Eighth St, Statham, GA 30666-1830 | 2010-08-04 |
| Find all providers in zip 30666 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083117469 | Southeast Regional Primary Care Corporation | Otolaryngology | 1707 Meadows Ln Ste C, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1023259454 | Facesfirst,llc | Otolaryngology | 1741 Patriots Way Nw, Kennesaw, GA 30152-4859 | 2009-03-15 |
| 1962652164 | The Nguyen Group | Otolaryngology | 5164 Buford Hwy Ne, Suite 100, Doraville, GA 30340-1105 | 2008-09-24 |
| 1063600914 | Atlanta Institute for Ent | Otolaryngology | 5745 Clarion St Ste B62, Cumming, GA 30040-0305 | 2007-10-04 |
| 1811961618 | Robinson W Schilling Jr. | Otolaryngology | 340 North Belair Rd, Evans, GA 30809 | 2006-02-16 |
| 1588637227 | Alan B Whitehouse | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-02-13 |
| 1427041631 | Raymond Howard IIi | Otolaryngology | 107 John Maddox Drive, Rome, GA 30165-1494 | 2005-08-24 |
| 1366858185 | Enti Anesthesia, LLC | Otolaryngology | 1595 Highway 34 E, Newnan, GA 30265-2353 | 2014-07-02 |
| 1619214343 | Kalos Surgical Associates LLC | Otolaryngology | 5670 Peachtree Dunwoody Rd Ne, Ste 910, Atlanta, GA 30342-1699 | 2013-01-15 |
| 1417283094 | Arnold Zweig | Otolaryngology | 1100 Lake Hearn Dr Ne, Suite 410, Atlanta, GA 30342-1523 | 2009-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.