DR. RANDALL THOMAS DAVIS (NPI# 1427091339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427091339 |
Entity Type | Individual |
Full Name | DR. RANDALL THOMAS DAVIS |
Credential | M.D. |
Practice Address |
1615 Hospital Pkwy Suite 300 Bedford TX 76022-5934 |
Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
Practice Telephone | 8173599000 |
Practice Fax Number | 8173599062 |
Mailing Telephone | 9729978000 |
Mailing Fax Number | 9724379605 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2008-02-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
J0469 | TX | Allopathic & Osteopathic Physicians |
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
J0469 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS OF TEXAS | 8R1422 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336437458 | Randall Thomasson Davis | Dentist | 3116 Acacia Dr, Cheyenne, WY 82001-5804 | 2011-07-11 |
1316131816 | Randall Ray Davis | Registered Nurse | 10325 Windmill Rd, Fairhope, AL 36532-4887 | 2007-08-29 |
1134311137 | Randall Davis | Dentist | 101 Pagosa St, Pagosa Springs, CO 81147 | 2007-08-14 |
1487781605 | Randall L Davis | Dentist | 100 Amesbury St Ste 203, Lawrence, MA 01840-1321 | 2007-02-27 |
1740292556 | Randall Evan Davis | Chiropractor | 300 Prairie Center Dr, Suite 210, Eden Prairie, MN 55344-5395 | 2006-08-12 |
1124054119 | Randall B Davis | Marriage & Family Therapist | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2006-06-23 |
1003804576 | Randall Gregg Davis | Chiropractor | 1000 N Arkansas Ave, Suite A, Russellville, AR 72801-2936 | 2005-10-10 |
1265435697 | Randall B Davis | Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-05-31 |
1023385408 | Randall J Davis | Dentist | 30 Plaza 9, Manalapan, NJ 07726-3010 | 2011-11-29 |
1265757132 | Randall D. Davis | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2010-04-02 |
Street Address |
1615 HOSPITAL PKWY SUITE 300 |
City | BEDFORD |
State | TX |
Zip Code | 76022-5934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164422440 | David James Carter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1615 Hospital Pkwy, Suite 211, Bedford, TX 76022-5934 | 2005-07-28 |
1629439476 | Caitlin Elizabeth Colosky | Physician Assistant | 1615 Hospital Pkwy, Suite 306, Bedford, TX 76022-5934 | 2016-03-08 |
1588916514 | Monaben I Patel | Nurse Practitioner | 1615 Hospital Pkwy, Suite 103, Bedford, TX 76022-5934 | 2012-10-15 |
1497034607 | Zeboonisha Damji | Nurse Practitioner | 1615 Hospital Pkwy, Suite 103, Bedford, TX 76022-5934 | 2011-08-05 |
1598074882 | Cardiovascular & Thoracic Specialty Group, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1615 Hospital Pkwy, Suite 211, Bedford, TX 76022-5934 | 2010-10-04 |
1386971596 | Generations Ob/gyn Group, P.a. | Specialist | 1615 Hospital Pkwy, Suite 310, Bedford, TX 76022-5934 | 2009-11-09 |
1558517193 | Madhuri Devdhar | Internal Medicine | 1615 Hospital Pkwy, Ste 202, Bedford, TX 76022-5935 | 2008-08-14 |
1437345204 | Christine L. Long | Nurse Practitioner | 1615 Hospital Pkwy, Suite 300, Bedford, TX 76022-5934 | 2007-09-14 |
1982805305 | Breast Care Center of North Texas | Specialist | 1615 Hospital Pkwy, Suite 109, Bedford, TX 76022-5934 | 2007-05-31 |
1467581439 | John David Miller, M.d.p.a. | Specialist | 1615 Hospital Pkwy, Suite 306, Bedford, TX 76022-5934 | 2007-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
Find all providers in zip 76022 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174520357 | Mohammad A Tirgan | Internal Medicine | 88 Center Rd, Suite # 210, Bedford, OH 44146-2700 | 2005-07-04 |
1649544669 | Oncology Associates, Inc | Internal Medicine | 88 Center Rd, Suite 210, Bedford, OH 44146-2700 | 2012-03-08 |
1982805164 | Henrik B Illum | Internal Medicine | 1615 Hospital Parkway, Suite 300, Bedford, TX 76022 | 2007-05-29 |
1538101530 | James Malcom Turner | Internal Medicine | 1615 Hospital Pkwy, Suite 300, Bedford, TX 76022-5934 | 2006-06-12 |
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1205399961 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3205, Texarkana, TX 75503-9766 | 2019-04-10 |
1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
1417485822 | Ahmad Ghorab | Internal Medicine | 1515 Holcombe Blvd #1445, Houston, TX 77030 | 2017-05-30 |
1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
1366981615 | Houston Cancer Treatment Centers Pa. | Internal Medicine | 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 | 2017-02-20 |
1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
1245642073 | Juan Francisco Garza | Internal Medicine | 3333 Bayshore Blvd Ste 320, Pasadena, TX 77504-1950 | 2014-05-28 |
1124463211 | Oluchi Oke | Internal Medicine | 1515 Holcombe Blvd Unit 463, Division of Cancer Medicine, Houston, TX 77030-4000 | 2013-05-03 |
1710229323 | Adaeze Nwosu- Iheme | Internal Medicine | 2700 Citizens Plz Ste 200, Victoria, TX 77901-5756 | 2013-03-21 |
1144570599 | Gummadi & Desai LLC | Internal Medicine | 2717 Michael Angelo Ste 302, Edinburg, TX 78539-1409 | 2012-09-13 |
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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.