MAURICE B RANDALL (NPI# 1730432030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730432030 |
Entity Type | Individual |
Full Name | MAURICE B RANDALL |
Credential | PAC |
Practice Address |
11020 Hull Street Rd Midlothian VA 23112-3200 |
Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
Practice Telephone | 8047446310 |
Mailing Telephone | 8049685700 |
Enumeration Date | 2012-10-24 |
Last Update Date | 2018-04-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 0110004100 | VA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | CAQH | 12484286 | 01 |
Street Address |
11020 HULL STREET RD |
City | MIDLOTHIAN |
State | VA |
Zip Code | 23112-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104891753 | Clay Ashley Loucks | Family Medicine | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2006-02-17 |
1013488246 | Derek John Tatum | Physician Assistant | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2018-12-16 |
1104277417 | David Arthur | Physician Assistant | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2016-06-28 |
1912357104 | Amanda P. Monte | Family Medicine | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2016-06-17 |
1104271832 | Eduardo Y Hernandez Verge | Family Medicine | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2016-05-02 |
1124254297 | Patricia Anne Babbitt | Physician Assistant | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2009-06-03 |
1982860912 | Rebecca A. Muminovic | Family Medicine | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2008-07-30 |
1073739314 | Don Robert Milliron | Physician Assistant | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2007-04-17 |
1477678530 | Lawrence D Berndt | Physician Assistant | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2007-03-20 |
1093854259 | Ather Iqbal | Family Medicine | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2007-02-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
Find all providers in zip 23112 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942799978 | Hannah Elizabeth Turner | Physician Assistant | 409 Calvert Dr, Midlothian, TX 76065-1397 | 2018-05-04 |
1851831259 | Jared Kirkbride | Physician Assistant | 5420 Creek Heights Dr, Midlothian, VA 23112-6266 | 2017-03-03 |
1902132335 | Gary Brandon Hightower | Physician Assistant | 5955 Harbour Park Drive, Midlothian, VA 23112-2163 | 2009-10-20 |
1962662130 | Ronald L Bradley | Physician Assistant | 13801 St Francis Blvd Ste 200, Midlothian, VA 23114-3206 | 2008-06-11 |
1346434396 | Michele Jane Phillips | Physician Assistant | 1316 Alverser Plaza, Midlothian, VA 23113 | 2007-09-04 |
1801837802 | Kathryn L Oprandi | Physician Assistant | 15564 Westchester Commons Way, Midlothian, VA 23113-7321 | 2006-06-09 |
1386276848 | Caitlyn Mcpeters | Physician Assistant | 13801 St Francis Blvd Ste 200, Midlothian, VA 23114-3206 | 2020-02-12 |
1023576444 | Ryan T Donahue | Physician Assistant | 13801 St Francis Blvd Ste 200, Midlothian, VA 23114-3206 | 2019-03-05 |
1013488246 | Derek John Tatum | Physician Assistant | 11020 Hull Street Rd, Midlothian, VA 23112-3200 | 2018-12-16 |
1205304599 | Anna Greenlee | Physician Assistant | 6100 Harbourside Centre Loop, Midlothian, VA 23112-2170 | 2018-11-05 |
Find all providers in MIDLOTHIAN |
City | MIDLOTHIAN |
Zip Code | 23112 |
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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.