DR. RANDY C AXELROD


Address: 456 Woodards Ford Rd, Chesapeake, VA 23322-4307
Phone: 7575468029

DR. RANDY C AXELROD (NPI# 1770884173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770884173
Entity Type Individual
Full Name DR. RANDY C AXELROD
Credential MD
Practice Address 456 Woodards Ford Rd
Chesapeake
VA 23322-4307
Practice Telephone 7575468029
Practice Fax Number 7575469053
Mailing Telephone 7575468029
Mailing Fax Number 7575469053
Enumeration Date 2010-11-16
Last Update Date 2010-11-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 35049258 OH Allopathic & Osteopathic Physicians
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
0101055870 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 456 WOODARDS FORD RD
City CHESAPEAKE
State VA
Zip Code 23322-4307

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1629590286 Jack Beverly Harris Jr. Contractor 156 Greengable Way, Chesapeake, VA 23322 2017-07-14
1528597911 Sara Osborne Speech-Language Pathologist 404 Mike Trail, Chesapeake, VA 23322 2017-06-08
1194100198 Kerry Maldiner Marriage & Family Therapist 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 2015-07-21
1619361532 Kathryn Restaino Student in an Organized Health Care Education/Training Program 705 Forest Mills Rd, Chesapeake, VA 23322 2015-03-28
1083037212 Kenneth E. Grindlay Dentist 228 Mount Pleasant Rd., Chesapeake, VA 23322 2014-01-23
1841538006 Karen Mcquarrie Behavioral Analyst 1200 Jamaica Avenue, Chesapeake, VA 23322 2013-01-23
1255615886 Vera Roberts Jackson Pharmacist 321 Battlefield Blvd. South, Chesapeake, VA 23322 2011-09-30
1669754628 Jacqueline Dungan Pharmacist 201 Hanbury Road E, Chesapeake, VA 23322 2011-09-15
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982665188 Nancy Mae Welch Preventive Medicine 748 Battlefield Blvd N, Chesapeake, VA 23320-4941 2006-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538792403 Elaine Stanek Perry Preventive Medicine 45201 Research Pl Ste 120, Ashburn, VA 20147-2416 2020-02-19
1629546379 Chang-i Wu Preventive Medicine 1530 Clarendon Blvd Apt 700, Arlington, VA 22209-4315 2018-11-09
1922541523 Gregory Burkhart Preventive Medicine 12224 Quorn Ln, Reston, VA 20191-2635 2016-11-30
1114380359 Sean C Mabey Preventive Medicine 2608 Nestlebrook Trl, Virginia Beach, VA 23456-8201 2016-04-04
1407269723 Kim Xuan Luk Preventive Medicine 4480 King St Fl 3, Alexandria, VA 22302-1300 2014-06-04
1225458581 Barbara Louise Johnson Preventive Medicine 412 W Stuart Dr, Galax, VA 24333-2737 2014-04-24
1811313943 Passport Health Holdings, LLC. Preventive Medicine 2812 Emerywood Parkway, #160, Richmond, VA 23294 2014-03-13
1518397405 Passport Health Holdings LLC Preventive Medicine 400 N Center Drive, Suite 108, Norfolk, VA 23502-0002 2013-11-14
1679827687 James J James Preventive Medicine 16422 Wanderers Port Lane, Onancock, VA 23417 2012-10-30
1851667091 Robert Peter Kadlec Preventive Medicine 2209 Traies Ct, Alexandria, VA 22306-2564 2012-03-31
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Competitor

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City CHESAPEAKE
Zip Code 23322

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Dataset Information

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.

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