RANDOLPH ALVIN NELSON (NPI# 1508846742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508846742 |
| Entity Type | Individual |
| Full Name | RANDOLPH ALVIN NELSON |
| Credential | M.D. |
| Practice Address |
1401 St Joseph Pkwy Houston TX 77002-8301 |
| Mailing Address |
2606 Iris Ct Pearland TX 77584-9400 |
| Practice Telephone | 7137577557 |
| Practice Fax Number | 7137565922 |
| Mailing Telephone | 2814129026 |
| Mailing Fax Number | 2814124195 |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2010-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | L1949 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS PROVIDER NUMBER | 8G1501 | 01 |
| TX | RAILROAD MEDICARE PROV # | 930117290 | 01 |
| TX | 1462699-02 | 05 | |
| TX | BCBSTX | 1508846742 | 01 |
| TX | TRICARE SOUTH | 1508846742 | 01 |
| Street Address |
1401 ST JOSEPH PKWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-8301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149244 | Thanh Nguyen | Anesthesiology | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2005-07-21 |
| 1770192320 | Tina Varughese | Registered Nurse | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2020-07-29 |
| 1710509336 | Omead Austin Barari | Student in an Organized Health Care Education/Training Program | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2020-05-18 |
| 1801418066 | Saakshi Chowdhary | Student in an Organized Health Care Education/Training Program | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2020-05-11 |
| 1811518624 | Austen Robert Neville | Student in an Organized Health Care Education/Training Program | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2020-05-04 |
| 1053931220 | Kevan Patel | Student in an Organized Health Care Education/Training Program | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2020-04-17 |
| 1912526328 | Nancy J Landez | Student in an Organized Health Care Education/Training Program | 1401 St Joseph Pkwy, Sks1106a, Houston, TX 77002 | 2020-04-15 |
| 1922633577 | Baochau Elizabeth Nguyen | Nurse Anesthetist, Certified Registered | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2020-03-04 |
| 1376175596 | Suong Thu Moore | Pharmacist | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2020-02-05 |
| 1871132167 | Kenneth Utah | Nurse Anesthetist, Certified Registered | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2020-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871129247 | Texmed Corp | Emergency Medicine | 14770 Memorial Drive Suite 100, Houston, TX 77079-5252 | 2020-03-18 |
| 1548894751 | Emergency Medicine Physician of Houston | Emergency Medicine | 4000 Washington Ave Ste 100, Houston, TX 77007-5676 | 2020-02-26 |
| 1912472929 | Bellaire Emergency Center, LLC | Emergency Medicine | 5413 S Rice Ave, Houston, TX 77081-2113 | 2018-10-05 |
| 1295200202 | Copperfield Emergency Center, LLC | Emergency Medicine | 5835 Highway 6 N, Houston, TX 77084-1833 | 2018-10-05 |
| 1285109298 | 1960 Emergency Center, LLC | Emergency Medicine | 5003 Cypress Creek Pkwy, Houston, TX 77069-4502 | 2018-10-05 |
| 1992294748 | Khalid Mohammed S Alhamdan | Emergency Medicine | 1504 Taub Loop # I, Houston, TX 77030-1608 | 2018-05-08 |
| 1861981920 | Chloe Woodington | Emergency Medicine | 1504 Taub Loop Emergency Center, Houston, TX 77030 | 2018-05-04 |
| 1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
| 1932617768 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 13550 East Fwy, Houston, TX 77015-5926 | 2018-01-15 |
| 1396251781 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 16307 Fm 529 Road, Houston, TX 77095-1417 | 2017-12-20 |
| Find all providers in HOUSTON | ||||
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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.