MICHAEL SHAWN MCMORAN (NPI# 1538276597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538276597 |
| Entity Type | Individual |
| Full Name | MICHAEL SHAWN MCMORAN |
| Practice Address |
5830 Bond St Suite 350 Cumming GA 30040-0307 |
| Practice Telephone | 4045203223 |
| Mailing Telephone | 4045203223 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
14947 | GA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3235 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154921608 | 05 |
| Street Address |
5830 BOND ST SUITE 350 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-0307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962400606 | Connis Norwood | Nurse Practitioner | 5830 Bond St, Suite 200, Cumming, GA 30040-0307 | 2005-07-07 |
| 1679806889 | Dominion Orthopaedic Clinic, LLC | Durable Medical Equipment & Medical Supplies | 5830 Bond St, Suite 200, Cumming, GA 30040-0307 | 2009-09-08 |
| 1215186838 | Physicians 2 You, Inc | Internal Medicine | 5830 Bond St, Suite 200-c, Cumming, GA 30040-0307 | 2008-09-18 |
| 1003012949 | Pinecca J Patel-raval | Podiatrist | 5830 Bond St, Ste 200, Cumming, GA 30040-0307 | 2007-06-26 |
| 1770556276 | Gary Steven Orris | Emergency Medicine | 5830 Bond St, Suite 200, Cumming, GA 30040-0307 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| 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 |
|---|---|---|---|---|
| 1972010502 | Cumming Pediatric Dentistry & Orthodontics, LLC | Dentist | 3275 Market Place Blvd Ste 150, Cumming, GA 30041-7980 | 2018-01-04 |
| 1144588997 | Dhruti J Patel | Dentist | 2360 Trammel Estates Dr, Cumming, GA 30041-8425 | 2012-04-30 |
| 1356580633 | R Jason Neil Bongiovi Dmd PC | Dentist | 3810 Windemere Parkway, Ste 502, Cumming, GA 30041 | 2009-02-11 |
| 1518026558 | Childrens Dentistry of Cumming | Dentist | 285 Elm Street, Ste 101, Cumming, GA 30040 | 2006-12-06 |
| 1891873758 | Jyoti Desh Sharma | Dentist | 1240 Buford Rd, Suite 150, Cumming, GA 30041-2731 | 2006-11-01 |
| 1972991248 | Children and Teen Dental Group, PC | Dentist | 285 Elm St, Cumming, GA 30040-8233 | 2015-01-08 |
| 1659611184 | Christina Mckellar | Dentist | 285 Elm St, Ste 301, Cumming, GA 30040-8233 | 2013-02-20 |
| 1407128663 | Smiles for Kids LLC | Dentist | 1240 Buford Rd, Suite 150, Cumming, GA 30041-2731 | 2012-02-03 |
| 1306147459 | Dentistry for Children of Cumming Cd, LLC | Dentist | 407 E Maple St, Ste 109, Cumming, GA 30040-2635 | 2010-11-05 |
| 1487854808 | John Jason Haffner | Dentist | 3480 Keith Bridge Rd, Suite A-4, Cumming, GA 30041-5568 | 2007-07-24 |
| Find all providers in CUMMING | ||||
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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.