RANDY R JEFFREY (NPI# 1154641348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154641348 |
| Entity Type | Individual |
| Full Name | RANDY R JEFFREY |
| Credential | M.D. |
| Practice Address |
120 E 2nd St Fl 2 Erie PA 16507 |
| Mailing Address |
120 E 2nd St Fl 2 Erie PA 16507-1537 |
| Practice Telephone | 8144568980 |
| Practice Fax Number | 8144510443 |
| Mailing Telephone | 8144568980 |
| Mailing Fax Number | 8144510443 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD456800 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
120 E 2ND ST FL 2 |
| City | ERIE |
| State | PA |
| Zip Code | 16507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335220 | Gurjaipal S Kang | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2005-06-08 |
| 1831692789 | Karlee R Murawski | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2018-03-16 |
| 1356859359 | Benjamin D Kies | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1579 | 2018-01-12 |
| 1700397213 | Shelby L Peterson | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2017-10-24 |
| 1346762085 | Ryan M Francis | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2017-07-14 |
| 1538601034 | Matthew J Hodas | Nurse Practitioner | 120 E 2nd St Fl 2, Erie, PA 16507-1579 | 2016-11-15 |
| 1992255046 | Samantha L Jenkins | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2016-10-12 |
| 1376099325 | Trysha A Hopkins | Nurse Practitioner | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2016-08-30 |
| 1396116091 | Jennifer B Schaaf | Nurse Practitioner | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2015-10-07 |
| 1639549710 | Gina M Fulgenzio | Physician Assistant | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2015-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285899294 | Jeffery Irving Blake | Internal Medicine | 2216 S Shore Dr, Erie, PA 16505-2144 | 2008-07-20 |
| 1487851192 | Internal Medicine Associates of Northwestern Pa PC | Internal Medicine | 2931 Peach Str, Erie, PA 16508-1842 | 2007-06-27 |
| 1821036195 | Kevin Joseph Mikielski | Internal Medicine | 4002 Schaper Avenue, Suite A, Erie, PA 16508 | 2006-06-02 |
| 1730167487 | William L Mecca | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2006-01-04 |
| 1558349365 | David T. Borowski | Internal Medicine | 2315 Myrtle St., Suite 190, Erie, PA 16502-4604 | 2006-01-03 |
| 1285612010 | Jeffrey A Buetikofer | Internal Medicine | 2315 Myrtle Street, Suite 190, Erie, PA 16502-4604 | 2006-01-03 |
| 1518961564 | Paul Demjanenko | Internal Medicine | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2005-06-08 |
| 1518226158 | Jasmin Maria Martinez Castellanos | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2012-05-15 |
| 1013273739 | Mohamad Khaled Sabeh | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2012-04-06 |
| 1225263577 | Jonathon Allen Wertz | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2009-05-15 |
| Find all providers in ERIE | ||||
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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.