DR. ROBERT D RANDALL JR. (NPI# 1467457424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467457424 |
| Entity Type | Individual |
| Full Name | DR. ROBERT D RANDALL JR. |
| Credential | MD |
| Practice Address |
1665 Herlong Ct Suite A Rock Hill SC 29732-1193 |
| Practice Telephone | 8033298500 |
| Practice Fax Number | 8033298511 |
| Mailing Telephone | 8033298500 |
| Mailing Fax Number | 8033298511 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2009-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 20949 | NC | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 10864 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAMSI | 297388 | 01 | |
| FIRST HEALTH | 2073882 | 01 | |
| SC | 108644 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891977476 | Robert Randall | Pharmacist | 76-78 Main St, Hudson Falls, NY 12839 | 2007-12-05 |
| 1396968301 | Robert S Randall | Dentist | 209 W 5th North St, Summerville, SC 29483-6511 | 2007-04-10 |
| 1073566717 | Robert Lawrence Randall | Orthopaedic Surgery | 4860 Y St Ste 1700, Sacramento, CA 95817 | 2006-05-17 |
| 1467447581 | Robert L Randall | Psychologist | 125 W Church St, Elmhurst, IL 60126-3326 | 2005-09-14 |
| 1699375063 | Robert Joseph Randall | Pharmacist | 5505 W Owen K Garriott Rd, Enid, OK 73703-6075 | 2020-10-27 |
| 1386169795 | Robert Scott Randall | Physical Therapist | 801 Toll House Ave Ste H3, Frederick, MD 21701-6117 | 2017-08-07 |
| 1306897707 | Robert A Randall | Family Medicine | 405 W Pearl St, Clinic, Atkinson, NE 68713-4882 | 2006-05-12 |
| Street Address |
1665 HERLONG CT SUITE A |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952637613 | Mec Surgical LLC | Surgery | 1665 Herlong Ct, Suite A, Rock Hill, SC 29732-1193 | 2009-10-30 |
| 1003870593 | Stephen Bryan Pociask | Anesthesiology | 1665 Herlong Ct, Suite B, Rock Hill, SC 29732-1193 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| 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 |
|---|---|---|---|---|
| 1487811139 | Novant Medical Group, Inc. | Surgery | 1721 Ebenezer Rd # 7, Suite 175, Rock Hill, SC 29732-4103 | 2008-05-20 |
| 1477661197 | Corey K Crain | Surgery | 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732-1188 | 2006-08-25 |
| 1629039102 | Palmetto Surgery LLC | Surgery | 1578 Constitution Blvd, 01, Rock Hill, SC 29732-3004 | 2006-04-01 |
| 1053371609 | Kamran Borhanian | Surgery | 200 S. Herlong Ave., Suite G, Rock Hill, SC 29732-1182 | 2006-03-27 |
| 1891779641 | Lewis Garrett Dickinson | Surgery | 200 S Herlong Ave Ste G, Rock Hill, SC 29732-1182 | 2005-12-05 |
| 1679578637 | Walter P Tiedeman IIi | Surgery | 1721-07 Ebenezer Road, Suite 175, Rock Hill, SC 29732 | 2005-06-16 |
| 1639459027 | Piedmont General Surgery Associates, LLC | Surgery | 200 S Herlong Ave, Suite G, Rock Hill, SC 29732-3399 | 2011-08-17 |
| 1952637613 | Mec Surgical LLC | Surgery | 1665 Herlong Ct, Suite A, Rock Hill, SC 29732-1193 | 2009-10-30 |
| 1245449354 | Shamly Venus Dhiman | Surgery | 1721 Ebenezer Rd, Suite 175, Rock Hill, SC 29732 | 2007-05-22 |
| 1578690285 | Carolina Breast Center | Surgery | 154 Amendment Ave, Suite 104, Rock Hill, SC 29732-3156 | 2007-02-28 |
| Find all providers in ROCK HILL | ||||
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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.