JEFFREY BLAINE RANDALL (NPI# 1730707480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730707480 |
| Entity Type | Individual |
| Full Name | JEFFREY BLAINE RANDALL |
| Credential | CDCA |
| Practice Address |
4867 Urbana Rd Springfield OH 45502 |
| Practice Telephone | 9379717358 |
| Practice Fax Number | 9377175995 |
| Mailing Telephone | 9379717358 |
| Mailing Fax Number | 9377175995 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.172965 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871926816 | Jeffrey Scott Randall | Licensed Practical Nurse | 2230 W Calle Del Sol, Phoenix, AZ 85085-7044 | 2013-08-13 |
| 1376688796 | Jeffrey Dwayne Randall | Counselor | 501 Highway 90 E, Little River, SC 29566-9261 | 2007-02-21 |
| 1952469967 | Jeffrey Blaine Randall | Chiropractor | 434 S Kiwanis Ave, Suite A, Sioux Falls, SD 57104-3710 | 2006-12-04 |
| 1598716045 | Jeffrey Randall | Physical Therapist | 9088 Ridgeline Blvd Ste 106, Highlands Ranch, CO 80129-2380 | 2006-05-12 |
| 1841754066 | Jeffrey Randall | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-01-23 |
| 1053782656 | Jeffrey Randall | Social Worker | 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 | 2015-10-08 |
| 1780916577 | Jeffrey Gordon Randall | Social Worker | 4131 Meridian Dr, Windsor, WI 53598-9699 | 2010-02-04 |
| 1467410811 | Jeffrey C Randall | Orthopaedic Surgery | 1112 W 6th St, Ste 124, Lawrence, KS 66044-2215 | 2006-05-03 |
| 1720046295 | Jeffrey Blaine Randall | Neurological Surgery | 20055 Lake Chabot Rd, # 110, Castro Valley, CA 94546 | 2006-05-03 |
| Street Address |
4867 URBANA RD |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710089982 | Mark II Ent., Ltd | Durable Medical Equipment & Medical Supplies | 4867 Urbana Rd, Springfield, OH 45502-9503 | 2006-09-01 |
| 1790303592 | Heather Arnold | Counselor | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2020-07-08 |
| 1417575317 | Joshua Bogan | Counselor | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2020-07-08 |
| 1821615907 | Christopher Mcinturff | Counselor | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2020-07-06 |
| 1013533090 | Catherine Weimer | Counselor | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2020-06-24 |
| 1013573989 | Dion Stevens | Peer Specialist | 4867 Urbana Rd, Springfield, OH 45502 | 2019-05-15 |
| 1164954947 | Contemporary Therapeutics LLC | Clinic/Center | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2017-03-30 |
| 1760736375 | Marcus Stanton Cosper | General Acute Care Hospital | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093232449 | Jennifer Susanne Mitchell Denney | Registered Nurse | 3710 Snyder Domer, Springfield, OH 45502 | 2017-08-26 |
| 1649512138 | Kathleen J Oxner | Internal Medicine | 2100 Emmanuel Way Ste B, Springfield, OH 45502 | 2013-03-22 |
| 1255667648 | Stacey Lynn Harpest | Licensed Practical Nurse | 2960 Dayton Springfield Road, Springfield, OH 45502 | 2009-10-20 |
| 1477714475 | Christian A Victor | Dentist | 1980 Kingsgate Rd., Suite A, Springfield, OH 45502 | 2008-06-23 |
| 1508916743 | Helen Louise Chapman | Home Health Aide | 7610 Troy Rd, Springfield, OH 45502 | 2007-01-11 |
| 1891845160 | Clark Dental Care Inc | Dentist | 1980 A Kings Gate Rd, Suite A, Springfield, OH 45502 | 2007-01-11 |
| 1144387820 | Philip Joseph Gibeau | Psychologist | 20 South Limestone St Ste 340, Springfield, OH 45502 | 2007-01-02 |
| 1760820708 | Matthew Pigott | Orthopaedic Surgery | 140 W Main St, Springfield, OH 45502 | 2013-06-12 |
| 1538304050 | Ohio Valley Medical Center, LLC | General Acute Care Hospital | 100 W. Main Street, Springfield, OH 45502 | 2008-12-12 |
| 1164609814 | Noshir E Deboo | Orthopaedic Surgery | 140 West Main Street, Suite 100, Springfield, OH 45502 | 2008-01-24 |
| Find all providers in zip 45502 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803990 | Stephanie R Stephens | Counselor | 1705 Maiden Ln, Springfield, OH 45504-2908 | 2020-02-14 |
| 1801449988 | Maurice Steven Martinez | Counselor | 7215 Adrienne Glen Ave, Springfield, VA 22152-3540 | 2019-07-18 |
| 1215494737 | John Henry Mccollum Jr. | Counselor | 80 Congress St Ste 101, Springfield, MA 01104-3427 | 2019-02-21 |
| 1821584541 | Patricia Thakur | Counselor | 404 E Battlefield St # R, Springfield, MO 65807-4802 | 2018-07-05 |
| 1336632074 | Solutions Group Nw LLC | Counselor | 3831 Main St Ste 108, Springfield, OR 97478-5801 | 2018-06-07 |
| 1285126235 | Rebecca Ann Dalton | Counselor | 3032 S Fremont Ave Ste C200, Springfield, MO 65804-4210 | 2018-06-05 |
| 1184136905 | Mark Jones | Counselor | 120 N Fountain Ave, Springfield, OH 45502-1163 | 2017-11-02 |
| 1457863599 | Michael A Carter | Counselor | 832 Olive St, Springfield, OH 45503-3738 | 2017-10-30 |
| 1710498001 | Springfield Treatment Center | Counselor | 1485 Market St, Springfield, OR 97477-3337 | 2017-10-13 |
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45502 |
Please comment or provide details below to improve the information on JEFFREY BLAINE RANDALL.
| 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.