RANDALL DOUGLAS MCCLELLAN (NPI# 1255349775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255349775 |
| Entity Type | Individual |
| Full Name | RANDALL DOUGLAS MCCLELLAN |
| Credential | MD |
| Practice Address |
303 Williams Avenue Suite 1021 Huntsville AL 35801 |
| Practice Telephone | 2565363832 |
| Practice Fax Number | 2565368829 |
| Mailing Telephone | 2565363832 |
| Mailing Fax Number | 2565368829 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
00024549 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 00937065 | 05 | |
| AL | BC | 51516878 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215947932 | Randall J. Mcclellan | Optometrist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2006-08-08 |
| Street Address |
303 WILLIAMS AVENUE SUITE 1021 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003913740 | James Gordon Mcmurray | Urology | 303 Williams Avenue, Suite 411, Huntsville, AL 35801 | 2006-09-17 |
| 1407969371 | Pediatric Gastroenterology Associates PC | Pediatrics | 303 Williams Avenue, Suite 1021, Huntsville, AL 35801 | 2006-08-16 |
| 1982612594 | Donald Wayne Laney Jr. | Pediatrics | 303 Williams Avenue, Suite 1021, Huntsville, AL 35801 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407969371 | Pediatric Gastroenterology Associates PC | Pediatrics | 303 Williams Avenue, Suite 1021, Huntsville, AL 35801 | 2006-08-16 |
| 1982612594 | Donald Wayne Laney Jr. | Pediatrics | 303 Williams Avenue, Suite 1021, Huntsville, AL 35801 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487979845 | Gillian Onika Noel | Pediatrics | University of Alabama/children's of Alabama, 5604 Mcwane Building, 1600 7th Avenue South, Birmingham, AL 35233 | 2010-03-29 |
| 1235202029 | Mitchell Bruce Cohen | Pediatrics | 1600 7th Ave S Ste 600, Birmingham, AL 35233-1711 | 2006-11-17 |
| 1508885559 | Jose Ramon Mestre | Pediatrics | 1023 22nd St S, Birmingham, AL 35205-2811 | 2006-07-19 |
| 1578121919 | Usa Health Physician Billing Services LLC | Pediatrics | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
| 1679934145 | University of South Alabama | Pediatrics | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1639511934 | Luz Helena Gutierrez Sanchez | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-07-27 |
| 1144584236 | Diana Lorena Montoya Melo | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-07-03 |
| 1134269848 | Meredith Cheryl Hitch | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2007-02-08 |
| 1861533374 | Gastroenterology for Children P.C. | Pediatrics | 1023 22nd St S, Birmingham, AL 35205-2811 | 2007-02-08 |
| 1003901240 | Alabama Pediatric Gastroenterology, P.C. | Pediatrics | 2151 Highland Ave S, Suite 225, Birmingham, AL 35205-4079 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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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.