RANDOLPH SPECIALTY GROUP PRACTICE (NPI# 1760716740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760716740 |
| Entity Type | Organization |
| Organization Name | RANDOLPH SPECIALTY GROUP PRACTICE |
| Other Organization Name | RANDOLPH HEALTH ORTHOPEDICS & SPORTS MEDICINE |
| Practice Address |
503 N Fayetteville St Asheboro NC 27203-4728 |
| Mailing Address |
Po Box 5418 Asheboro NC 27204-5418 |
| Practice Telephone | 3366262688 |
| Practice Fax Number | 3366264100 |
| Mailing Telephone | 3366252333 |
| Mailing Fax Number | 3366255511 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | ROBERT SCOTT CLAUSER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3366252333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5913788 | 05 |
| Other Name | Type Code |
|---|---|
| Randolph Health Orthopedics & Sports Medicine | 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 |
| 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 |
| 1932536596 | Randolph Specialty Group Practice | Clinic/Center | 191 Nc Highway 42 N, Suite F, Asheboro, NC 27203-7964 | 2013-09-27 |
| Street Address |
503 N FAYETTEVILLE ST |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27203-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224174 | Alyssa Leigh Williams | Physical Therapist | 503 N Fayetteville St, Asheboro, NC 27203-4728 | 2020-08-04 |
| 1720493430 | Erin Renee Poarch | Physician Assistant | 503 N Fayetteville St, Asheboro, NC 27203-4728 | 2014-06-23 |
| 1407280340 | Randolph Specialty Group Practice | Clinic/Center | 503 N Fayetteville St, Asheboro, NC 27203-4728 | 2013-08-28 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346238755 | Lance Thayer Sisco | Orthopaedic Surgery | 138a Dublin Square Rd, Asheboro, NC 27203-8627 | 2005-10-10 |
| 1891834818 | Shakeel Durrani | Orthopaedic Surgery | 138 Dublin Square Rd Ste A, Asheboro, NC 27203-8601 | 2007-02-06 |
| 1811036841 | Jeffrey Yaste | Orthopaedic Surgery | 138 Dublin Square Rd Ste A, Asheboro, NC 27203-8601 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042244 | University of North Carolina At Chapel Hill | Orthopaedic Surgery | 6715 Mccrimmon Pkwy Ste 205a, Cary, NC 27519-1916 | 2020-10-29 |
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1902429863 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 2700 Providence Rd S Ste 225, Waxhaw, NC 28173-6314 | 2020-05-26 |
| 1932750304 | Orthocarolina, Pa - Bundle Payment Program Section 3 | Orthopaedic Surgery | 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 | 2019-09-26 |
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1649737156 | Mcpc-15, LLC | Orthopaedic Surgery | 2919 Beechtree Dr Ste 3100, Sanford, NC 27330-6934 | 2019-02-21 |
| 1528543295 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 1545 Orchard Villas Ave, Apex, NC 27502-4321 | 2018-09-28 |
| 1346722865 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 120 Healthplex Way Ste 206, Apex, NC 27502-8403 | 2018-08-31 |
| 1760987911 | Unc Rockingham Health Care, Inc. | Orthopaedic Surgery | 520 S Van Buren Rd Ste 2, Eden, NC 27288-5079 | 2018-03-29 |
| 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.