GINGER BOHN RANDOLPH (NPI# 1508428707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508428707 |
| Entity Type | Individual |
| Full Name | GINGER BOHN RANDOLPH |
| Credential | FNP-C |
| Practice Address |
7137 236th Ave Salem WI 53168-8975 |
| Practice Telephone | 2628464422 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9363-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7137 236TH AVE |
| City | SALEM |
| State | WI |
| Zip Code | 53168-8975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417919275 | Paddock Lake Family Practice, Sc | Family Medicine | 7137 236th Ave, Suite 103, Salem, WI 53168-9664 | 2006-04-05 |
| 1639459886 | Leigh Ann Miller | Occupational Therapist | 7137 236th Ave, Ste 101, Salem, WI 53168-8975 | 2011-08-19 |
| 1942262712 | Brian J Hettrick | Family Medicine | 7137 236th Ave, Suite 103, Salem, WI 53168-9664 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1811557457 | Chadi Farag | Dentist | 25620 75th Street, Salem, WI 53168 | 2019-06-17 |
| 1659708261 | Lisa Marie Looney | Registered Nurse | 5104 294th Ave., Salem, WI 53168 | 2013-09-27 |
| 1720267693 | Central High School District of Westosha | Local Education Agency (LEA) | 24617 75th St, Salem, WI 53168 | 2007-10-29 |
| 1003973108 | Toby Jayne Hawkes | Chiropractor | 24706 75th St., Suite 200, Paddock Lake, WI 53168 | 2007-01-02 |
| 1336171339 | Aurora Pharmacy Inc | Pharmacy | 25320 75th St, Paddock Lake, WI 53168 | 2006-07-07 |
| 1063894723 | Southport Cardiovascular Surgeons LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7137 236th Avenue, #103, Paddock Lake, WI 53168 | 2015-06-18 |
| 1699704296 | Michelle Lynn Baumeister | Occupational Therapy Assistant | 25250 75th St, Paddock Lake, WI 53168 | 2006-07-03 |
| 1710930961 | Paul Norman Schmidt | Physical Therapist | 25250 75th St, Salem, WI 53168-8705 | 2006-05-18 |
| 1073158937 | Kassandra R Kanaga | Occupational Therapist | 25250 75th St, Salem, WI 53168-8705 | 2019-11-14 |
| Find all providers in zip 53168 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
| 1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
| 1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
| Find all providers in SALEM | ||||
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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.