Larry B Dyal (NPI# 1871581744, PAC ID# 6103803507) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1871581744 |
| PAC ID by PECOS | 6103803507 |
| Professional Enrollment ID | I20040702000830 |
| Full Name | Larry B Dyal |
| Organization Legal Name | COASTAL FOOT AND ANKLE SPECIALIST, LLC |
| Address |
10 Professional Dr Brunswick GA 31520-3774 |
| Phone Number | 9122650709 |
| Gender | M |
| Credential | DPM |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5294037016 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 10 Professional Dr, Brunswick, GA 31520-3774 | 9122650709 | COASTAL FOOT AND ANKLE SPECIALIST, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 69% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 69% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 59% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 59% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 6% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 6% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 25% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 25% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_047_overall | Care Plan | 97% | |
| MIPS_EC_047_overall | Care Plan | 97% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 69% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 69% |
| Organization Legal Name | COASTAL FOOT AND ANKLE SPECIALIST, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary M Grolemund | Podiatry | Coastal Foot and Ankle Specialist, LLC | 10 Professional Dr, Brunswick, GA 31520-3774 |
| Whitney E Mcconnell | Podiatry | Coastal Foot and Ankle Specialist, LLC | 10 Professional Dr, Brunswick, GA 31520-3774 |
| Street Address |
10 PROFESSIONAL DR |
| City | BRUNSWICK |
| State | GA |
| Zip | 31520-3774 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary M Grolemund | Podiatry | Coastal Foot and Ankle Specialist, LLC | 10 Professional Dr, Brunswick, GA 31520-3774 |
| Whitney E Mcconnell | Podiatry | Coastal Foot and Ankle Specialist, LLC | 10 Professional Dr, Brunswick, GA 31520-3774 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Martin | General Surgery | 650 Scranton Rd, Suite C, Brunswick, GA 31520-1927 | |
| Kerry E Moore | Nurse Practitioner | Heller Family Medicine LLC | 664 Scranton Rd, Brunswick, GA 31520-1946 |
| Richard P Mcewan | Family Medicine | 160 Juniper Court, Suite 101, Brunswick, GA 31520-1952 | |
| Sonya D Roland | Physical Therapy | 216 Harrison Ln, Brunswick, GA 31520-1959 | |
| Yoshi T Graham | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Dana Morgan | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Stephanie R Chapman | Psychiatry | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Gregory C Claxton | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Megan J Woolwine | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Peri M Kyriacos | Clinical Social Worker | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Find all physicians in zip 31520 | |||
| City | BRUNSWICK |
| Zip Code | 31520 |
| Specialty | PODIATRY |
| City + Specialty | BRUNSWICK + PODIATRY |
Please comment or provide details below to improve the information on Larry B Dyal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.