DR. RANDI M KODROFF (NPI# 1831155373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831155373 |
| Entity Type | Individual |
| Full Name | DR. RANDI M KODROFF |
| Credential | D.O. |
| Practice Address |
1005 N Glebe Rd Suite 400 Arlington VA 22201-5718 |
| Practice Telephone | 5714923045 |
| Practice Fax Number | 5714923046 |
| Mailing Telephone | 5714923045 |
| Mailing Fax Number | 5714923046 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102203317 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BK1199187 | 01 | |
| SC | GP4819 | 05 |
| Street Address |
1005 N GLEBE RD SUITE 400 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22201-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444523 | Antonio R. Parente | Internal Medicine | 1005 N Glebe Rd, #750, Arlington, VA 22201-5718 | 2005-06-01 |
| 1295386357 | Makenzie Olving | Physical Therapist | 1005 N Glebe Rd, Arlington, VA 22201-5718 | 2019-09-20 |
| 1275079006 | The Cardiovascular Group, PC | Internal Medicine | 1005 N Glebe Rd, #750, Arlington, VA 22201-5718 | 2017-01-18 |
| 1558761551 | Dental Devotion Pllc | Clinic/Center | 1005 N Glebe Rd, Suite 460, Arlington, VA 22201-5718 | 2014-08-26 |
| 1346540317 | Caitlin Jane Sweeney | Physical Therapist | 1005 N Glebe Rd, Unit 410, Arlington, VA 22201-5718 | 2010-10-25 |
| 1215259049 | Judith Anne Niemyer | Internal Medicine | 1005 N Glebe Rd, Suite 550, Arlington, VA 22201-5718 | 2010-02-21 |
| 1255590204 | Edward William Howard | Internal Medicine | 1005 N Glebe Rd, #750, Arlington, VA 22201-5718 | 2008-06-05 |
| 1386857498 | Deena B Hollingsworth | Nurse Practitioner | 1005 N Glebe Rd, Suite 500, Arlington, VA 22201-5718 | 2007-05-07 |
| 1962527663 | Rachel L Berger | Internal Medicine | 1005 N Glebe Rd, #750, Arlington, VA 22201-5718 | 2007-03-20 |
| 1366515561 | Lanna J. Smith | Nurse Practitioner | 1005 N Glebe Rd, #750, Arlington, VA 22201-5718 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801314422 | Michael John Harrington | Specialist/Technologist | 1301 N Stafford St, Arlington, VA 22201 | 2017-09-04 |
| 1376083352 | Life We Deserve, LLC | Community/Behavioral Health | 1919 Clarendon Blvd Apt 538, Arlington, VA 22201 | 2017-02-24 |
| 1821471244 | Christopher P Henry | Dentist | 1025 N. Fillmore St., Suite A, Arlington, VA 22201 | 2015-07-02 |
| 1699174714 | Northstar Psychological Services | Psychologist | 2000 N. 15th Street, Suite G2-100, Arlington, VA 22201 | 2014-08-14 |
| 1861823809 | Nicole Aniela Szwanke | Physical Therapist | 1005 N Glebe Rd Ste 410, Arlington, VA 22201 | 2013-12-02 |
| 1285073791 | Live Longer Labs LLC | Clinical Medical Laboratory | 1040 N Quincy St Suite 500, Arlington, VA 22201 | 2013-06-18 |
| 1992093355 | Deepthi Moola | Student in an Organized Health Care Education/Training Program | 1005 North Glebe Rd, #430, Arlington, VA 22201 | 2011-07-19 |
| 1245527886 | Eva K Swenson | Dentist | 2250 Clarendon Blvd. Apt. 1212, Arlington, VA 22201 | 2011-07-04 |
| 1639483951 | Hooman Hamidi | Chiropractor | 2778 Washington Blvd, Arlington, VA 22201 | 2010-07-28 |
| 1831400233 | Stephanie A Klassner | Dentist | 1025 North Fillmore Street, Suite A, Arlington, VA 22201 | 2010-06-30 |
| Find all providers in zip 22201 | ||||
| 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 |
|---|---|---|---|---|
| 1326683467 | Amy Haddad | Family Medicine | 2500 Hunter Hill Dr, Arlington, TX 76012-5519 | 2019-11-13 |
| 1689227233 | Casper Regenerative and Physical Medicine, Pllc | Family Medicine | 701 Highlander Blvd Ste 150, Arlington, TX 76015-4602 | 2019-07-23 |
| 1609432764 | Ifeanyi Duruewuru | Family Medicine | 3132 Matlock Rd Ste 311, Arlington, TX 76015-2922 | 2019-05-14 |
| 1366911034 | Quynhanh Thi Vo | Family Medicine | 501 Rita Ln Ste 109, Arlington, TX 76014-2010 | 2018-11-25 |
| 1003394396 | Mariana Stone | Family Medicine | 52a Montague St, Arlington, MA 02474-2508 | 2018-07-30 |
| 1982108312 | Premierhealth Family Medicine Pllc | Family Medicine | 601 Omega Dr Ste 203, Arlington, TX 76014-2075 | 2018-03-21 |
| 1881106607 | Yourfamilydoc Pllc | Family Medicine | 903 Medical Centre Dr Ste A, Arlington, TX 76012-4754 | 2017-11-02 |
| 1497288518 | Billiken T Lin | Family Medicine | 6515 Virginia Sq, Arlington, TX 76017-4948 | 2017-04-05 |
| 1609314392 | Post Acute Specialists, Pa | Family Medicine | 835 E Lamar Blvd # 141, Arlington, TX 76011 | 2017-02-02 |
| 1235685793 | America Medical Diagnostics, Inc | Family Medicine | 610 Crownpoint Ln, Arlington, TX 76002-4776 | 2016-08-25 |
| Find all providers in ARLINGTON | ||||
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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.