DR. CARLTON DUANE RANDLEMAN JR. (NPI# 1487693982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487693982 |
| Entity Type | Individual |
| Full Name | DR. CARLTON DUANE RANDLEMAN JR. |
| Credential | MD |
| Practice Address |
2704 20th St S Ste 100 Birmingham AL 35209-1924 |
| Mailing Address |
2704 20th St S # 100 Birmingham AL 35209-1924 |
| Practice Telephone | 2055921800 |
| Mailing Telephone | 2055921800 |
| Mailing Fax Number | 2055921752 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16019 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009978850 | 05 | |
| AL | BLUE CROSS - 860 MONT RD | 051086920 | 01 |
| AL | BLUE CROSS - 48 MED PARK | 051506128 | 01 |
| AL | BLUE CROSS - 2660 10TH AV | 051529501 | 01 |
| AL | 009932786 | 05 | |
| AL | 000086920 | 05 |
| Street Address |
2704 20TH ST S STE 100 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114968575 | Varicosity LLC | Surgery | 2704 20th St S, Suite 410, Birmingham, AL 35209-1924 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396791604 | Stanley K Lochridge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2871 Acton Road, Suite 100, Birmingham, AL 35243-2560 | 2006-05-26 |
| 1639173271 | Clifton Thomas Pannell Lewis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 833 Princeton Ave Sw, Suite 200a, Birmingham, AL 35211-1323 | 2005-06-10 |
| 1326388158 | Baptist Health Center Princeton Cardiothoracic Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 833 Princeton Ave Sw, Pob IIi; Suite 200a, Birmingham, AL 35211-1323 | 2013-02-14 |
| 1063709624 | Kyle William Eudailey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 19th St S, Birmingham, AL 35249-1303 | 2011-07-05 |
| 1801181649 | Panayotis Vardas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 19th St S, Birmingham, AL 35249-5969 | 2011-06-09 |
| 1013154962 | Benjamin Wei | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2009-01-14 |
| 1073766309 | Hurley W Knott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 860 Montclair Rd, Birmingham, AL 35213-1923 | 2008-10-30 |
| 1649368739 | Thoracic and Cardio.surgeons,pc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 880 Montclair Rd, Suite 380, Birmingham, AL 35213-1972 | 2006-10-11 |
| 1083624357 | Gregory Allen Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 817 Princeton Ave Sw, Suite 300 - Pob II, Birmingham, AL 35211-1333 | 2006-08-09 |
| 1659381291 | Lee Shefton Riggins | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 401 Tuscaloosa Ave Sw, Suite D-210, Birmingham, AL 35211-1416 | 2006-08-08 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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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.