DR. RANDAL PAUL BAST (NPI# 1245335090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245335090 |
| Entity Type | Individual |
| Full Name | DR. RANDAL PAUL BAST |
| Credential | MD |
| Practice Address |
1031 Morganton Blvd Sw Lenoir NC 28645-5677 |
| Practice Telephone | 8287578240 |
| Practice Fax Number | 8287578241 |
| Mailing Telephone | 8287578240 |
| Mailing Fax Number | 8287578241 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 9800782 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8911454 | 05 |
| Street Address |
1031 MORGANTON BLVD SW |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-5677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477733 | Lisa C Burdge | Speech-Language Pathologist | 1031 Morganton Blvd Sw, Lenoir, NC 28645-5677 | 2005-06-16 |
| 1043868284 | Jessica Ann Buckner | Nurse Practitioner | 1031 Morganton Blvd Sw, Lenoir, NC 28645-5677 | 2019-08-30 |
| 1467900183 | Keisha Paige | Physical Therapist | 1031 Morganton Blvd Sw, Lenoir, NC 28645-5677 | 2016-09-12 |
| 1376090555 | Kim Elkins Rollyson | Occupational Therapist | 1031 Morganton Blvd Sw, Lenoir, NC 28645-5677 | 2016-09-06 |
| 1356898605 | Derval Hamilton | Physical Therapist | 1031 Morganton Blvd Sw, Lenoir, NC 28645-5677 | 2016-09-03 |
| 1346658531 | Caldwell Memorial Hospital, Inc | Surgery | 1031 Morganton Blvd Sw, Suite C, Lenoir, NC 28645-5677 | 2014-07-31 |
| 1003228875 | Jennifer Perry | Dietitian, Registered | 1031 Morganton Blvd Sw, Quest4life, Lenoir, NC 28645-5677 | 2014-05-28 |
| 1336355767 | Allison Lee Charles | Physical Therapist | 1031 Morganton Blvd Sw, Quest 4 Life Rehabilitation Services, Lenoir, NC 28645-5669 | 2007-05-15 |
| 1245446681 | Allison Stokes Mace | Physical Therapist | 1031 Morganton Blvd Sw, Quest 4 Life Rehab Services, Lenoir, NC 28645-5669 | 2007-05-15 |
| 1336355353 | S. Renea Bedard | Physical Therapist | 1031 Morganton Blvd Sw, Quest 4 Life Rehab, Lenoir, NC 28645-5669 | 2007-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1225052673 | Rod M Goncalves | Surgery | 401 Mulberry St Sw Ste 202, Lenoir, NC 28645-5463 | 2006-07-27 |
| 1932133170 | Peter N Purcell | Surgery | 401 Mulberry St Sw Ste 101, Lenoir, NC 28645-5463 | 2006-07-11 |
| 1346658531 | Caldwell Memorial Hospital, Inc | Surgery | 1031 Morganton Blvd Sw, Suite C, Lenoir, NC 28645-5677 | 2014-07-31 |
| 1376983171 | Caldwell Memorial Hospital, Inc. | Surgery | 401 Mulberry St Sw, Suite 202, Lenoir, NC 28645-5463 | 2013-06-26 |
| 1053604546 | Keith Thomas Sharpton | Surgery | 401 Mulberry St Sw Ste 202, Lenoir, NC 28645-5463 | 2011-05-17 |
| 1730269002 | Thomas A Pezzi | Surgery | 401 Mulberry St Sw, Suite 202, Lenoir, NC 28645-5463 | 2006-10-17 |
| 1548365364 | Lonnie Newell Shull Jr. | Surgery | 401 Mulberry St Sw, Ste 101, Lenoir, NC 28645-1648 | 2006-09-14 |
| 1225142011 | Horizon Surgical Specialists Pa | Surgery | 401 Mulberry St Sw, Ste 101, Lenoir, NC 28645-1648 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
| 1639701980 | Orthopaedic Surgery Center of Panther Creek LLC | Surgery | 6715 Mccrimmon Pkwy Ste 100, Cary, NC 27519-1916 | 2020-02-05 |
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1790335180 | Shihao Lao | Surgery | 2301 Erwin Rd # Dumc2837, Durham, NC 27705-4699 | 2019-09-17 |
| 1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1164980546 | Moses Cone Physician Services, Inc. | Surgery | 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215-8068 | 2019-03-05 |
| 1154806271 | The Cosmetic Concierge, Pllc | Surgery | 325 Arlington Ave Unit B, Charlotte, NC 28203-4574 | 2018-09-25 |
| 1386128601 | Venkateswara Rao Gurram | Surgery | 5075 Winster Dr Apt 202, Winston Salem, NC 27106-2988 | 2018-09-21 |
| 1376022533 | Shawn Thomas Colwell | Surgery | 411 Dogwood Ln, Wilmington, NC 28409-5805 | 2018-08-08 |
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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.