RANDY S KINNARD (NPI# 1407084916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407084916 |
| Entity Type | Individual |
| Full Name | RANDY S KINNARD |
| Credential | MD |
| Practice Address |
1249 15th St Suite 2000 Huntington WV 25701-3662 |
| Practice Telephone | 3046911000 |
| Practice Fax Number | 3046911693 |
| Mailing Telephone | 3046911000 |
| Mailing Fax Number | 3046911693 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2013-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25242 | WV | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | TMP-02462 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0068881 | 05 | |
| OH | OH MEDICAID CARESOURCE | 310917085156 | 01 |
| WV | 3810023588 | 05 | |
| OH | OH MEDICAID UNISON | 000000495918 | 01 |
| Street Address |
1249 15TH ST SUITE 2000 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524409 | Omolola Olajide | Internal Medicine | 1249 15th St, Suite 3000, Huntington, WV 25701-3662 | 2005-08-09 |
| 1255941076 | Russell Nogot | Student in an Organized Health Care Education/Training Program | 1249 15th St, Huntington, WV 25701-3662 | 2020-08-06 |
| 1669081691 | Ahmed Himdat | Student in an Organized Health Care Education/Training Program | 1249 15th St, Huntington, WV 25701-3662 | 2020-07-27 |
| 1588282446 | Saba Altarawneh | Student in an Organized Health Care Education/Training Program | 1249 15th St, Huntington, WV 25701-3662 | 2020-07-08 |
| 1417574880 | Abraham Titus | Student in an Organized Health Care Education/Training Program | 1249 15th St, Huntington, WV 25701-3662 | 2020-07-01 |
| 1255958922 | Maria Ann Heck | Internal Medicine | 1249 15th St, Huntington, WV 25701-3662 | 2020-06-29 |
| 1427675206 | Yury Kachynski | Student in an Organized Health Care Education/Training Program | 1249 15th St, Huntington, WV 25701-3662 | 2020-06-29 |
| 1730706441 | Callie Hutchinson | Nurse Practitioner | 1249 15th St, Huntington, WV 25701-3662 | 2020-06-29 |
| 1447875026 | Belete Desimmie | Student in an Organized Health Care Education/Training Program | 1249 15th St, Huntington, WV 25701-3662 | 2020-06-10 |
| 1174174304 | Jordan Gregory Sheppard | Pharmacist | 1249 15th St, Huntington, WV 25701-3662 | 2019-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1942546361 | Dlm Internal Medicine Inc | Internal Medicine | 3135 Hal Greer Boulevard, Suite 15, Huntington, WV 25701 | 2012-12-13 |
| 1962751263 | Robert James Marshall | Internal Medicine | 93 Camelot Drive, Huntington, WV 25701-5302 | 2012-08-31 |
| 1386938827 | Richardson Medical Services, Pllc | Internal Medicine | 5185 Us Route 60 E Ste 30, Huntington, WV 25705-2003 | 2011-06-01 |
| 1043518004 | Laurence Novick | Internal Medicine | 7 Hamilton Ln, Huntington, NY 11743-5127 | 2011-02-28 |
| 1467779124 | Parkview Health System,inc | Internal Medicine | 2003 Stults Rd Ste 100, Huntington, IN 46750-1291 | 2010-04-21 |
| 1922339498 | Mitchell Sierecki | Internal Medicine | 325 Park Avenue, Huntington, NY 11743 | 2010-01-23 |
| 1588994511 | Ralph Jacobsen | Internal Medicine | 38 Copperdale Lane, Huntington, NY 11743-2523 | 2010-01-14 |
| 1235390220 | Kifle Z Gebregzabhere | Internal Medicine | 1540 Spring Valley, Huntington, WV 25704 | 2008-06-23 |
| 1700089414 | Richmond Gyamfi | Internal Medicine | 2900 1st Ave Rm 1023, Huntington, WV 25702-1241 | 2007-06-08 |
| 1700091881 | Aman Arora | Internal Medicine | 2900 1st Ave Rm 1025, Huntington, WV 25702-1241 | 2007-05-11 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25701 |
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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.