DR. RANDY A SANSONE (NPI# 1184615411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184615411 |
| Entity Type | Individual |
| Full Name | DR. RANDY A SANSONE |
| Credential | MD |
| Practice Address |
2115 Leiter Rd Miamisburg OH 45342-3659 |
| Practice Telephone | 9373846850 |
| Practice Fax Number | 9373846939 |
| Mailing Telephone | 9373846850 |
| Mailing Fax Number | 9373846939 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2008-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35 042495 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0477550 | 05 |
| Street Address |
2115 LEITER RD |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013372 | David F Lim | Internal Medicine | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2005-06-14 |
| 1235755323 | Esteban Josue Arevalo Caro | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-06-24 |
| 1457976656 | Kishley Bhalla | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-06-12 |
| 1356970495 | Nathaniel Yohannes | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-04-01 |
| 1144858309 | Sarah Schafer | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-31 |
| 1164050530 | Vaama Patel | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-31 |
| 1871121566 | Marco James Comianos | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-30 |
| 1972131779 | Naveen Vuppuluri | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-29 |
| 1740818467 | Valentina Maksymyuk | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-29 |
| 1457989204 | Amanda Marie Olney | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
| 1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
| 1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
| 1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
| 1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
| 1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
| 1467768531 | Jillian Alexis Shellabarger | Psychiatry & Neurology | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2010-08-26 |
| 1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
| 1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
| 1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
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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.