JOHN RANDOLPH FAMILY PRACTICE LLC (NPI# 1659330843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659330843 |
| Entity Type | Organization |
| Organization Name | JOHN RANDOLPH FAMILY PRACTICE LLC |
| Other Organization Name | CHESTER MEDICAL GROUP, LLC |
| Practice Address |
12900 Jefferson Davis Hwy Chester VA 23831-5311 |
| Practice Telephone | 8044140300 |
| Practice Fax Number | 8044140319 |
| Mailing Telephone | 8044140300 |
| Mailing Fax Number | 8044140319 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | CAROL SMITH (VICE PRESIDENT) |
| Authorized Official Telephone | 8042377760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RR MEDICARE | DF58380 | 01 |
| VA | 1659330843 | 05 |
| Other Name | Type Code |
|---|---|
| Chester Medical Group, LLC | Doing Business As Name - Organization |
| Street Address |
12900 JEFFERSON DAVIS HWY |
| City | CHESTER |
| State | VA |
| Zip Code | 23831-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683950 | Heaven Sent By Home Town Health Care, Ltd | Durable Medical Equipment & Medical Supplies | 12900 Jefferson Davis Hwy, Chester, VA 23831-5311 | 2020-06-11 |
| 1629006671 | John Randolph Family Practice, LLC | Internal Medicine | 12900 Jefferson Davis Hwy, Chester, VA 23831-5311 | 2006-06-29 |
| 1790732436 | Heaven Sent By Home Town Health Care, Ltd | Home Health | 12900 Jefferson Davis Hwy, Chester, VA 23831-5311 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| 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 |
|---|---|---|---|---|
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1629469002 | Memorial Hospital | Family Medicine | 2319 Old Plank Road, Chester, IL 62233-1116 | 2015-02-06 |
| 1376945626 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 12340 Bermuda Crossroad Ln, Chester, VA 23831-2352 | 2014-09-18 |
| 1962845016 | Luisa M Caparoula | Family Medicine | 12254 Branders Creek Dr, Chester, VA 23831-1626 | 2013-04-08 |
| 1801173141 | Bon Secours - St. Francis Medical Center LLC | Family Medicine | 11601 Iron Bridge Rd Ste 117, Chester, VA 23831-1467 | 2011-11-15 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1477781995 | Shervon Pierre | Family Medicine | 115 Cestrain Sq, Chester, SC 29706-1979 | 2009-06-23 |
| 1457506792 | Charu Gupta | Family Medicine | 2 North Road, Chester, NJ 07094-1826 | 2008-12-01 |
| 1669639969 | Alison Lewis | Family Medicine | 530 Main St Ste 4a, Chester, NJ 07930-2669 | 2008-05-22 |
| 1063683688 | Lorraine D Robertson | Family Medicine | 21 Brown Ct, Chester, NJ 07930-2481 | 2008-03-23 |
| Find all providers in CHESTER | ||||
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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.