DR. TABITHA RANDOL (NPI# 1073548913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073548913 |
| Entity Type | Individual |
| Full Name | DR. TABITHA RANDOL |
| Credential | M.D. |
| Practice Address |
4501 Old Spartanburg Rd Suite 9 Taylors SC 29687-4105 |
| Practice Telephone | 8642928868 |
| Mailing Telephone | 8642928868 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 27090 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
4501 OLD SPARTANBURG RD SUITE 9 |
| City | TAYLORS |
| State | SC |
| Zip Code | 29687-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719320 | John B Eberly | Family Medicine | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2005-05-27 |
| 1992358535 | Jillian Reynolds | Speech-Language Pathologist | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2019-07-23 |
| 1184932725 | Katherine L Burnett | Occupational Therapist | 4501 Old Spartanburg Rd, Suite 15, Taylors, SC 29687-4105 | 2010-09-16 |
| 1366678617 | Cheryl Davis Rigdon | Speech-Language Pathologist | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2009-06-01 |
| 1326252024 | Wendy Torres Arnold | Family Medicine | 4501 Old Spartanburg Rd, Suite 14, Taylors, SC 29687-4105 | 2007-05-10 |
| 1912124025 | Heather M Cirelli | Counselor | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2007-04-19 |
| 1477621266 | St Francis Physician Services Inc | Family Medicine | 4501 Old Spartanburg Rd, Taylors, SC 29687-4105 | 2006-12-01 |
| 1942263751 | Eastside Pediatrics Pa | Pediatrics | 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | 2006-04-11 |
| 1588623029 | Carolyn G Schultz | Pediatrics | 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | 2006-03-22 |
| 1730148289 | Roy A Mages | Pediatrics | 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | 2006-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070862 | Allison Brooke Leach | Registered Nurse | 505 Dewy Meadows Drive, Taylors, SC 29687 | 2020-07-12 |
| 1437500832 | Andrew Hunter Denardo | Dentist | 2801 Wade Hampton Blvd Ste 118, Taylors, SC 29687 | 2016-06-27 |
| 1629163951 | Patricia Sue Rowe | Chiropractor | 3575 Rutherford Rd Ext Suite C, Taylors, SC 29687 | 2006-10-03 |
| 1265547889 | Diabetic Services Inc | Durable Medical Equipment & Medical Supplies | 202 Bendingwood Circle, Taylors, SC 29687 | 2006-08-21 |
| 1336608033 | Taylors Free Medical Clinic, Inc. | Clinic/Center | 400 West Main Street, Taylors, SC 29687 | 2019-03-13 |
| 1528544368 | Allison F Doot | Pharmacist | 3300 Wade Hampton Blvd, Taylors, SC 29687 | 2018-07-16 |
| 1518330323 | Kelsey Mariah Matthews | Physician Assistant | 3551a Rutherford Rd, Taylors, SC 29687 | 2015-11-03 |
| 1619378478 | Justin Jennings | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687 | 2014-09-11 |
| 1770839219 | Emily Gilstrap Colao | Dentist | 2801 Wade Hampton Blvd, Suite 118, Taylors, SC 29687 | 2012-08-02 |
| 1730479288 | Christopher Lee Howlett | Dentist | 2 E Lee Rd, Taylors, SC 29687 | 2011-04-17 |
| Find all providers in zip 29687 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942263751 | Eastside Pediatrics Pa | Pediatrics | 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | 2006-04-11 |
| 1114994316 | Jeffrey Martin Phillips | Pediatrics | 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981833 | Kaitlyn Marie Skelston | Pediatrics | 2828 Bayboro St, Loris, SC 29569-2710 | 2020-10-28 |
| 1518571421 | Carolinas Physicians Network Inc | Pediatrics | 1154 Carolina Pl, Fort Mill, SC 29708-7063 | 2020-09-08 |
| 1952911075 | Medical University Hospital Authority | Pediatrics | 838 W Meeting St Ste E, Lancaster, SC 29720-6261 | 2020-08-04 |
| 1134738644 | Medical University Hospital Authority | Pediatrics | 1 Medical Park Dr Ste A, Chester, SC 29706-9769 | 2020-07-30 |
| 1023632809 | Caitlin Marie Stoll | Pediatrics | 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 | 2020-06-08 |
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1134743420 | Elizabeth Alden Mccants | Pediatrics | 125 Doughty St Ste 520d, Charleston, SC 29403-5736 | 2020-06-02 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1265066658 | Sahar Alavi | Pediatrics | 1439 Cambridge Lakes Dr, Mount Pleasant, SC 29464-7301 | 2020-02-25 |
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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.