RANDOLPH MEDICAL ASSOCIATES, PC (NPI# 1497815120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497815120 |
| Entity Type | Organization |
| Organization Name | RANDOLPH MEDICAL ASSOCIATES, PC |
| Practice Address |
965 Us Hwy 431 Roanoke AL 36274 |
| Mailing Address |
Po Box 625 965 Us Hwy 431 Roanoke AL 36274-0625 |
| Practice Telephone | 3348632141 |
| Practice Fax Number | 3348638733 |
| Mailing Telephone | 3348632141 |
| Mailing Fax Number | 3348638733 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RUSSELL D PETERSON (PRESIDENT) |
| Authorized Official Telephone | 3348632141 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO-436 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790984268 | Randolph Medical Associates, PC | Internal Medicine | 32 So Main St, Suite 200, Randolph, MA 02368 | 2007-07-16 |
| Street Address |
965 US HWY 431 |
| City | ROANOKE |
| State | AL |
| Zip Code | 36274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144322504 | Russell D Peterson | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-09-05 |
| 1104003987 | Randolph Medical Associates | Spec/Tech, Cardiovascular | 965 Us Hwy 431, Roanoke, AL 36274 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144520446 | Eagle Drugs LLC | Pharmacy | 3705 Hwy 431, Roanoke, AL 36274 | 2010-11-02 |
| 1538498431 | Harriet Elizabeth Chappell | Nurse Practitioner | 1026 Lafayette Parkway, Roanoke, AL 36274 | 2009-12-24 |
| 1194917096 | William Robert Dixson | Pharmacist | 4108 United States Highway 431, Roanoke, AL 36274 | 2007-08-14 |
| 1841416542 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 935 Hwy 431, Suite 3, Roanoke, AL 36274 | 2007-04-18 |
| 1417023987 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-28 |
| 1841379617 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-03 |
| 1568545382 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-10-23 |
| 1619147006 | Randolph County Learning Center | Day Training, Developmentally Disabled Services | 1475 Main Street, Roanoke, AL 36274-0127 | 2008-03-03 |
| 1891897948 | Tricounty Family Practice, PC | Family Medicine | 149 Chestnut St, Roanoke, AL 36274-1301 | 2006-09-01 |
| 1861594939 | Donna M Whaley | Nurse Practitioner | 5 North Medical Park Drive, Valley, AL 36274-1301 | 2006-09-01 |
| Find all providers in zip 36274 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247555 | Lisa R Zettler | Family Medicine | 1016 Primrose Ave Se, Roanoke, VA 24014-2508 | 2020-02-12 |
| 1316581366 | Dustin Powers | Family Medicine | 3347 Pamlico Dr, Roanoke, VA 24018-4938 | 2019-11-03 |
| 1932692365 | Sarah Rebecca Childress | Family Medicine | 102 Highland Ave Se Ste 303, Roanoke, VA 24013-2253 | 2018-06-11 |
| 1013327188 | The Center for Ultra Health LLC | Family Medicine | 4235 Colonial Ave, First Floor, Roanoke, VA 24018-4002 | 2014-04-29 |
| 1679904338 | Mazen Madhoun Md LLC | Family Medicine | 6002 Winnbrook Ln, Roanoke, VA 24018-7907 | 2013-12-06 |
| 1245563519 | Valley Gericare Inc | Family Medicine | 1205 Moorman Ave Nw, Roanoke, VA 24017-5739 | 2009-09-17 |
| 1003149915 | Valley Gericare Inc | Family Medicine | 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018-4374 | 2009-09-09 |
| 1679774582 | Beau James Ellenbecker | Family Medicine | 610 E Byron Nelson Blvd, Suite 101, Roanoke, TX 76262-6541 | 2007-05-29 |
| 1962535278 | Jeffrey Brad Griffin | Family Medicine | 509 E Byron Nelson Blvd, Suite B, Roanoke, TX 76262-6183 | 2007-03-14 |
| 1043349384 | Janet Lee Spitzer | Family Medicine | 1901 Denniston Ave Sw, Roanoke, VA 24015-2023 | 2007-03-04 |
| Find all providers in ROANOKE | ||||
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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.