TYRONE WEDELL ROBINSON (NPI# 1710512249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710512249 |
| Entity Type | Individual |
| Full Name | TYRONE WEDELL ROBINSON |
| Practice Address |
5028 Seminole Cir Lake Park GA 31636-3206 |
| Practice Telephone | 2295638650 |
| Mailing Telephone | 2295638650 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598273922 | Tyrone Dupre' Robinson | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2018-01-19 |
| 1245588417 | Tyrone L Robinson | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2012-08-20 |
| Street Address |
5028 SEMINOLE CIR |
| City | LAKE PARK |
| State | GA |
| Zip Code | 31636-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891045191 | South Georgia Medical Center | General Acute Care Hospital | 2501 North Patterson St, Valdosta, GA 31636 | 2012-09-13 |
| 1407011711 | Migrant Farmworkers Clinic Inc | Clinic/Center | 224 J Frank Culpepper Road, Lake Park, GA 31636 | 2008-07-25 |
| 1649482795 | Institute for Family Systems Support | Social Worker | 308 West Collins Ave, Lake Park, GA 31636 | 2007-05-03 |
| 1639208333 | Kemberly Amanda Stone | Physician Assistant | 453 Lakes Blvd Suite B, Lake Park Family Care Clinic, Lake Park, GA 31636 | 2007-03-06 |
| 1215065768 | Dorothy B Price | Pharmacist | 1060 Lakes Boulevard, Winn Dixie #32, Lake Park, GA 31636 | 2007-02-28 |
| 1922163815 | South Health District | Public Health or Welfare | 751 Country Lane, Lake Park, GA 31636 | 2006-12-22 |
| 1235222415 | Wendy Ann Dorminey | Pharmacist | 1016 Lakes Blvd, Lake Park, GA 31636 | 2006-10-02 |
| 1528220308 | Michael Anthony Ferguson | Pharmacist | 1060 Lakes Blvd, Lake Park, GA 31636 | 2008-07-02 |
| 1285715433 | Manuel Tovar | Specialist | 224 Culpepper Rd., Lake Park, GA 31636-0889 | 2006-10-17 |
| 1518375815 | Rich Vodde | Social Worker | 5990 Dykes Pond Rd, Lake Park, GA 31636-2716 | 2014-07-30 |
| Find all providers in zip 31636 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249942 | Sheila Michele Nobles | Contractor | 5043 Cypress Lake Dr, Lake Park, GA 31636-3111 | 2019-11-14 |
| 1831671767 | Deborah Ann Woodward | Contractor | 612 Eagle Crest Dr, Lake Park, GA 31636-2751 | 2018-09-06 |
| 1881175578 | Heather Leigh Frederick | Contractor | 5310 Moss Oak Trl, Lake Park, GA 31636-3300 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900011 | Tamekia Richardson | Contractor | 861 Frank Rd, Fitzgerald, GA 31750-9049 | 2020-10-20 |
| 1285232777 | Khrystal Wright | Contractor | 4016 Foxborough Blvd, Valdosta, GA 31602-6726 | 2020-10-15 |
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1790392652 | Najee Shafi | Contractor | 100 Archstone Sq, Mcdonough, GA 30253-5820 | 2020-09-24 |
| 1144837071 | Angela M Bodie | Contractor | 406 Carrington Green Pkwy, Mcdonough, GA 30252-7693 | 2020-09-24 |
| 1841806841 | Ashley De Plato | Contractor | 3813 Robin Ln, Valdosta, GA 31605-5124 | 2020-09-16 |
| 1407462401 | Pamela Woodard | Contractor | 868 Cochise Trl Se, Conyers, GA 30094-4538 | 2020-09-16 |
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1316551377 | Holland Consulting Practice LLC | Contractor | 6307 Towne Lake Hts, Woodstock, GA 30189-4245 | 2020-09-07 |
| 1003420571 | Antonio Jones | Contractor | 700 Martin Luther King Jr Dr Sw Apt 206, Atlanta, GA 30314-4143 | 2020-09-02 |
| 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.