RANDOLPH SPECIALTY GROUP PRACTICE (NPI# 1619022779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619022779 |
| Entity Type | Organization |
| Organization Name | RANDOLPH SPECIALTY GROUP PRACTICE |
| Other Organization Name | RANDOLPH HEALTH ENDOSCOPY CENTER |
| Practice Address |
700 Sunset Ave Asheboro NC 27203-5304 |
| Mailing Address |
Po Box 5418 Asheboro NC 27204-5418 |
| Practice Telephone | 3366264328 |
| Practice Fax Number | 3366259941 |
| Mailing Telephone | 3366252333 |
| Mailing Fax Number | 3366255511 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | ROBERT SCOTT CLAUSER (PRESIDENT) |
| Authorized Official Telephone | 3366252333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
NC | Ambulatory Health Care Facilities | |
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
AS0054 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Randolph Health Endoscopy Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629517909 | Randolph Specialty Group Practice | Physical Therapist | 310 S Middleton St, Robbins, NC 27325-8407 | 2017-02-20 |
| 1760716740 | Randolph Specialty Group Practice | Orthopaedic Surgery | 503 N Fayetteville St, Asheboro, NC 27203-4728 | 2009-09-24 |
| 1396971438 | Randolph Specialty Group Practice | Physical Therapist | 148 Pointe South Dr, Randleman, NC 27317-9520 | 2009-06-03 |
| 1134398431 | Randolph Specialty Group Practice | Physical Therapist | 701 Liberty St, Ramseur, NC 27316-9464 | 2008-02-21 |
| 1538684113 | Randolph Specialty Group Practice | Surgery | 132 W Miller St Ste C, Asheboro, NC 27203-4775 | 2017-08-04 |
| 1679019640 | Randolph Specialty Group Practice | Family Medicine | 600 W Salisbury St Ste B, Asheboro, NC 27203-5591 | 2017-01-13 |
| 1760930002 | Randolph Specialty Group Practice | Family Medicine | 629 Industrial Park Ave, Asheboro, NC 27205-7333 | 2016-09-15 |
| 1710385935 | Randolph Specialty Group Practice | Internal Medicine | 132 W Miller St, Suite C, Asheboro, NC 27203-4774 | 2014-12-22 |
| 1306262936 | Randolph Specialty Group Practice | Family Medicine | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2014-03-06 |
| 1104247626 | Randolph Specialty Group Practice | Family Medicine | 600 W Salisbury St, Suite B, Asheboro, NC 27203-5590 | 2013-12-31 |
| Street Address |
700 SUNSET AVE |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27203-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285055228 | Lisa Lee Beck | Physician Assistant | 700 Sunset Ave, Asheboro, NC 27203-5304 | 2013-12-18 |
| 1023396033 | Randolph Specialty Group Practice | Internal Medicine | 700 Sunset Ave, Asheboro, NC 27203-5304 | 2011-07-25 |
| 1538214721 | Robert Hoyt Butler | Internal Medicine | 700 Sunset Ave, Asheboro, NC 27203-5304 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1689151912 | Earth Angels Home Care | In Home Supportive Care | 167 Macarthur St., Asheboro, NC 27203 | 2018-07-19 |
| 1518485333 | Katherine Hall Kruppenbach | Nurse Practitioner | 223 W Ward St Ste B, Asheboro, NC 27203 | 2017-08-31 |
| 1912429705 | Julie Yates Allsbrook | Pharmacist | 363 Sunset Avenue, Asheboro, NC 27203 | 2017-07-12 |
| 1932651452 | Joshua Knight | Physician Assistant | 197 Nc-42, Asheboro, NC 27203 | 2016-11-01 |
| 1053862391 | Jamie Lauren Webb | Physician Assistant | 197 North Carolina 42 East, White Oak Urgent Care, Asheboro, NC 27203 | 2016-10-21 |
| 1780936146 | Randolph County Senior Adults Association, Inc. | Non-emergency Medical Transport (VAN) | 133 West Wainman Ave., Asheboro, NC 27203 | 2012-10-10 |
| 1730472515 | Maggie Wright Fetner | Dentist | 202 N. Cox St, Asheboro, NC 27203 | 2011-05-26 |
| 1144528944 | Central Piedmont Surgery Center LLC | Clinic/Center | 724 Thomas Street, Asheboro, NC 27203 | 2011-03-03 |
| 1669785614 | Easter Seals Ucp North Carolina & Virginia, Inc. | Case Management | 624 S Fayetteville St, Suite E, Asheboro, NC 27203 | 2010-07-20 |
| Find all providers in zip 27203 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933952 | Gastroenterology Associates of The Piedmont | Clinic/Center | 445 Pineview Dr Ste 240, Kernersville, NC 27284-3818 | 2020-05-13 |
| 1861059172 | Cabarrus Gastroenterology Associates, Pllc | Clinic/Center | 9965 Poplar Tent Rd, Concord, NC 28027-9304 | 2019-05-22 |
| 1942637814 | Gastroenterology Associates of The Piedmont, P.a. | Clinic/Center | 1901 S. Hawthorne Road, Suite 308, Winston-salem, NC 27103 | 2013-10-08 |
| 1881793990 | Duke Triangle Endoscopy Center, LLC | Clinic/Center | 249 E N.c. Highway 54, Suite 210, Durham, NC 27713 | 2006-09-22 |
| 1346265287 | Cchc Endoscopy Center Inc | Clinic/Center | 975 Newman Rd, New Bern, NC 28562-5252 | 2006-07-13 |
| 1134777832 | Peters Endoscopy Center, LLC | Clinic/Center | 1580 Skeet Club Rd, High Point, NC 27265-9530 | 2019-08-27 |
| 1700359403 | Tryon Endoscopy Center, LLC | Clinic/Center | 16817 Marvin Road, Charlotte, NC 28277-2196 | 2019-01-04 |
| 1932688900 | Harnett Health System, Inc | Clinic/Center | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2018-08-10 |
| 1407200744 | All-american Anesthesia LLC | Clinic/Center | 3202 Boone Trl, Fayetteville, NC 28306-2134 | 2016-04-22 |
| 1013377290 | Rockford Digestive Health Endoscopy Center | Clinic/Center | 951 Rockford St, Suite B, Mount Airy, NC 27030-5323 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
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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.