DR. MICHAEL TATE AZZOLIN (NPI# 1588090153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588090153 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL TATE AZZOLIN |
| Credential | PHARM.D. |
| Practice Address |
1500 Lane Creek Dr Bishop GA 30621-1188 |
| Practice Telephone | 7062243881 |
| Practice Fax Number | 7063899501 |
| Mailing Telephone | 7062243881 |
| Mailing Fax Number | 7063899501 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH021293 | GA | Pharmacy Service Providers |
| Street Address |
1500 LANE CREEK DR |
| City | BISHOP |
| State | GA |
| Zip Code | 30621-1188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583477 | Kao, LLC | Clinic/Center | 1181 Langford Dr, Bld 100 Suite 101, Watkinsville, GA 30621 | 2018-06-26 |
| 1619262946 | Mauree Harper Whitaker | Nurse Practitioner | 1250 Overlook Ridge Rd, Bishop, GA 30621-1148 | 2011-06-15 |
| 1730582966 | Oconee County Health & Rehabilitation LLC | Skilled Nursing Facility | 3450 New High Shoals Rd, Bishop, GA 30621-1305 | 2014-10-02 |
| 1033619580 | Matthew Edward Osbourn | Occupational Therapy Assistant | 3450 New High Shoals Rd, Bishop, GA 30621-1305 | 2018-02-20 |
| 1043346166 | Britt Alger | Specialist/Technologist | 1131 Creekstone Ln, Bishop, GA 30621-1351 | 2007-02-25 |
| 1184938318 | Teresa Traut | Physical Therapist | 1061 Southwind Dr, Bishop, GA 30621-1361 | 2010-07-29 |
| 1033574553 | Rachel Garrett | Speech-Language Pathologist | 1121 Hardigree Bell Rd, Bishop, GA 30621-1451 | 2015-12-29 |
| 1205462645 | Be The Change Therapy, LLC | Speech-Language Pathologist | 1121 Hardigree Bell Rd, Bishop, GA 30621-1451 | 2020-03-17 |
| 1134114291 | Susan Marcantonio | Pharmacist | 1441 Arborwood Rdg, Bishop, GA 30621-1536 | 2005-09-14 |
| 1902247695 | Sarah Randall Hall | Case Manager/Care Coordinator | 1171 Ridgefield Dr, Bishop, GA 30621-1551 | 2013-07-10 |
| Find all providers in zip 30621 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242590 | Amy Tran | Pharmacist | 1190 N Bishop St, Bishop, CA 93514 | 2019-12-13 |
| 1508272832 | Christopher Coleman | Pharmacist | 1723 Townside Way, Bishop, GA 30621-6445 | 2014-07-08 |
| 1447578489 | Katherine Marie Kamei | Pharmacist | 1375 Rocking W Dr, Bishop, CA 93514-1995 | 2010-05-14 |
| 1134114291 | Susan Marcantonio | Pharmacist | 1441 Arborwood Rdg, Bishop, GA 30621-1536 | 2005-09-14 |
| 1316580442 | Jenny Nguyen | Pharmacist | 1190 N Main St, Bishop, CA 93514-2410 | 2019-10-22 |
| 1508417395 | Fred Dirisio | Pharmacist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-24 |
| 1669023594 | Natalie Chi Ting Chang | Pharmacist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-23 |
| 1760033708 | Jeffrey Tatum | Pharmacist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-20 |
| 1346541257 | Ha Ngo | Pharmacist | 1190 N Main St, Bishop, CA 93514 | 2010-11-09 |
| 1639479694 | Susan Kumiko Biggle | Pharmacist | 1190 N Main St, Bishop, CA 93514-2410 | 2010-10-25 |
| Find all providers in BISHOP | ||||
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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.