DR. LARRY B DYAL JR. (NPI# 1871581744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871581744 |
| Entity Type | Individual |
| Full Name | DR. LARRY B DYAL JR. |
| Credential | DPM |
| Practice Address |
10 Professional Dr Brunswick GA 31520-3774 |
| Practice Telephone | (912) 265-0709 |
| Practice Fax Number | 9125745953 |
| Mailing Telephone | (912) 265-0709 |
| Mailing Fax Number | 9125745953 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD000997 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 400885615D | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 N Gross Rd Ste 103b, Kingsland, GA 315486296 | 9127292615 | 9127297991 |
| Street Address |
10 PROFESSIONAL DR |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629447511 | Coastal Foot and Ankle Specialist, LLC | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2015-09-21 |
| 1508001710 | Gary M. Grolemund, Dpm PC | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2008-12-03 |
| 1811170509 | Gary M. Grolemund Dpm | Durable Medical Equipment & Medical Supplies | 10 Professional Dr, Brunswick, GA 31520-3774 | 2007-12-17 |
| 1083629893 | Gary M Grolemund | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2006-07-30 |
| 1043225865 | Golden Isles Foot Surgery Center | Clinic/Center | 10 Professional Dr, Brunswick, GA 31520-3774 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629447511 | Coastal Foot and Ankle Specialist, LLC | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2015-09-21 |
| 1255572111 | Dwight S Blease | Podiatrist | 10 Cushing St, Brunswick, ME 04011-1801 | 2009-03-23 |
| 1174764146 | Angela M. Perron Dpm Pa | Podiatrist | 81 Medical Center Dr, Suite 1150, Brunswick, ME 04011-2690 | 2009-03-20 |
| 1699974097 | Jared T Wilkinson | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2007-07-16 |
| 1588784409 | Foot and Ankle Associates of Maine, P.a. | Podiatrist | 310 Bath Rd, Brunswick, ME 04011 | 2007-04-02 |
| 1104832054 | Brian David Macdonald | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2006-07-31 |
| 1972580009 | Daniel Chester Buck | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-29 |
| 1326023367 | Michael Carl Saraydarian | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515980 | Da Vinci Foot and Ankle Madison LLC | Podiatrist | 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 | 2019-08-29 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1073076170 | Kalish Foot & Ankle Institute | Podiatrist | 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 | 2019-04-08 |
| 1427523919 | Tommy Lee Tally | Podiatrist | 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 | 2018-10-10 |
| 1881188944 | Joshua Jae Lee | Podiatrist | 3425 Buford Dr Ste 350, Buford, GA 30519-8785 | 2018-06-21 |
| 1437652815 | Southeast Regional Primary Care Corporation | Podiatrist | 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1194245894 | Yusuf Abiodun Opakunle | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2017-06-23 |
| 1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
| 1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
| 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.