DR. MICHAEL LEE MINYARD (NPI# 1972851954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972851954 |
Entity Type | Individual |
Full Name | DR. MICHAEL LEE MINYARD |
Credential | D.M.D, M.P.H. |
Practice Address |
1120 15th St Augusta GA 30912-2960 |
Mailing Address |
5445 Meridian Marks Rd Ste 200 Atlanta GA 30342-4755 |
Practice Telephone | 7067212371 |
Mailing Telephone | 4047859557 |
Enumeration Date | 2012-08-22 |
Last Update Date | 2019-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN014462 | GA | Dental Providers |
Street Address |
1120 15TH ST |
City | AUGUSTA |
State | GA |
Zip Code | 30912-2960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
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Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497198154 | Brittany Rose Waters | Dentist | 2070 Reserve Ln, Augusta, GA 30907-6215 | 2013-04-12 |
1366708653 | June Murakaru | Dentist | 1120 15th St # Gc-2133, Augusta, GA 30912-0004 | 2012-04-11 |
1922188085 | Phillip Hickson Miller | Dentist | 104 Kings Chapel Rd, Augusta, GA 30907-4001 | 2006-10-16 |
1699873786 | I Gary Katcoff | Dentist | 3559 Wheeler Road, Augusta, GA 30909 | 2006-09-20 |
1306868872 | Michael Milano | Dentist | 1430 John Wesley Gilbert Drive Au Dental Associates, Augusta, GA 30912-7450 | 2006-07-24 |
1982644142 | Andrew Durbin Chandler | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2006-06-07 |
1164490918 | Center for Pediatric Dentistry, PC | Dentist | 1243 Augusta West Pkwy, Augusta, GA 30909-1807 | 2006-03-09 |
1245879006 | Pediatric Dental Associates of Atlanta | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2019-12-26 |
1801433750 | Mainely Kids & Teens, LLC | Dentist | 8 Shuman Ave, Augusta, ME 04330-7751 | 2019-12-10 |
1669815296 | Andrew Shoemaker | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2013-04-13 |
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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.