MICHAEL TYLER LAND (NPI# 1184186033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184186033 |
| Entity Type | Individual |
| Full Name | MICHAEL TYLER LAND |
| Practice Address |
3780 Eisenhower Pkwy Macon GA 31206-0800 |
| Mailing Address |
513 Kirkland Dr Locust Grove GA 30248-7222 |
| Practice Telephone | 4786335550 |
| Mailing Telephone | 7062991186 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11253 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 777 Hemlock St, Macon, GA 312012102 | 4786331000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600291 | Michael Land | Pharmacist | 609 Kailua Rd, Kailua, HI 96734-2839 | 2020-02-11 |
| 1184057291 | Michael Ross Land | General Practice | 1000 Bristol St N, Ste 1b, Newport Beach, CA 92660-8916 | 2013-08-12 |
| 1164688594 | Michael H. Land | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2008-08-05 |
| 1770627440 | Michael R. Land | Physical Therapist | 12831 6th St, Suite C&d, Lillian, AL 36549-4166 | 2007-02-16 |
| 1609866821 | Michael Roy Land | Obstetrics & Gynecology | 1450 Matthews Township Pkwy, Suite 200, Matthews, NC 28105-2387 | 2005-10-27 |
| 1730185265 | Michael J Land | Dentist | 101 Progress Dr, Doylestown, PA 18901-2563 | 2005-06-21 |
| Street Address |
3780 EISENHOWER PKWY |
| City | MACON |
| State | GA |
| Zip Code | 31206-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492720 | Harry S Strothers IIi | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2005-07-21 |
| 1538621172 | Michael Prasad Reddy-miller | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-03 |
| 1982166757 | Latora Williams | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-02 |
| 1316409063 | Jean-philippe Morisset | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-02 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| 1407318215 | Philomise Moncion | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| 1902398282 | Parth Kiritkumar Patel | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-06-03 |
| 1013409317 | Shuichi Nakai | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-06-01 |
| 1841797289 | Christal Marie Uthaman | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-04-11 |
| 1386149425 | Vince Ifeanyi Chukwukelu | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1073063228 | Eisenhower Parkway Dental Group, LLC | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206 | 2016-10-12 |
| Find all providers in zip 31206 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393953 | Umerah Family Practice LLC | Family Medicine | 112 Arkwright Lndg Ste B, Macon, GA 31210-1364 | 2019-12-16 |
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1578025300 | Shail Patel | Family Medicine | 3780 Eisenhower Pkwy Ste 1, Macon, GA 31206-0801 | 2019-04-01 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1255779351 | Kristopher K Mcjenkin | Family Medicine | 105 Bass Plantation Dr, Apt 607, Macon, GA 31210-5735 | 2013-06-11 |
| 1750620191 | Derrick Lane, Md, LLC | Family Medicine | 818 Forsyth St, Macon, GA 31201-2139 | 2013-02-05 |
| 1215182977 | Unlimited Medical Solutions, Inc. | Family Medicine | 3200 Riverside Dr Bldg B, Macon, GA 31210-2550 | 2008-11-22 |
| 1144474784 | Jack Fernando Menendez | Family Medicine | 376 Rogers Ave, Macon, GA 31204-2506 | 2008-11-10 |
| 1255504098 | Veera Pavuluri | Family Medicine | 132 Madison North Dr, Macon, GA 31220-7626 | 2008-04-11 |
| 1871770412 | Albert Warren Jr. | Family Medicine | 1339 Gray Hwy, Macon, GA 31211-1903 | 2008-01-25 |
| Find all providers in MACON | ||||
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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.