CHARLES RANDALL (NPI# 1881699668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881699668 |
| Entity Type | Individual |
| Full Name | CHARLES RANDALL |
| Credential | M.D. |
| Practice Address |
260 Merrimac St Newburyport MA 01950-2192 |
| Practice Telephone | 9784997200 |
| Practice Fax Number | 9784997216 |
| Mailing Telephone | 9784997200 |
| Mailing Fax Number | 9784997216 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 54597 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
54597 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | J07241 | 01 |
| MA | EVERCARE | 48-00612 | 01 |
| MA | HARVARD PILGRIM HEALTHCAR | 60720 | 01 |
| MA | NETWORK HEALTH | 974558 | 01 |
| CIGNA | 0014413 | 01 | |
| NH | ANTHEM BLUE CROSS | A59300 | 01 |
| MA | 110045489A | 05 | |
| MA | TUFTS HEALTH PLAN | 054597 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710035829 | Charles Jared Randall | Dentist | 3285 E. 17th St., Ammon, ID 83406-6758 | 2007-01-08 |
| 1295814952 | Charles W Randall | Internal Medicine | 8550 Datapoint Dr, Suite 200, San Antonio, TX 78229-3270 | 2006-11-03 |
| Street Address |
260 MERRIMAC ST |
| City | NEWBURYPORT |
| State | MA |
| Zip Code | 01950-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902808124 | Stephen Beaudoin | Internal Medicine | 260 Merrimac St, Newburyport, MA 01950-2192 | 2005-06-01 |
| 1780166413 | Erin Brooke Houlihan | Nurse Practitioner | 260 Merrimac St, Newburyport, MA 01950-2192 | 2018-08-29 |
| 1952891541 | Gretchen Kosegarten | Social Worker | 260 Merrimac St, Newburyport, MA 01950-2192 | 2018-05-18 |
| 1407214240 | Lucy Sanford | Registered Nurse | 260 Merrimac St, Newburyport, MA 01950-2192 | 2016-02-08 |
| 1801260344 | Kimberly R Burnham | Nurse Practitioner | 260 Merrimac St, Newburyport, MA 01950-2192 | 2015-11-20 |
| 1831572213 | Jacqueline M Ferrari | Nurse Practitioner | 260 Merrimac St, Newburyport, MA 01950-2192 | 2015-07-03 |
| 1104233808 | Gabriel Paul Kasper | Nurse Practitioner | 260 Merrimac St, Newburyport, MA 01950-2192 | 2014-07-15 |
| 1427360361 | Elizabeth Herman Ensminger | Internal Medicine | 260 Merrimac St, Newburyport, MA 01950-2192 | 2010-07-08 |
| 1801115860 | Alon Sitzer | Family Medicine | 260 Merrimac St, Newburyport, MA 01950-2192 | 2010-05-28 |
| 1164659280 | Integrated Family Wellness, PC | Clinic/Center | 260 Merrimac St, Newburyport, MA 01950-2192 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954212 | Kirsten Ross | Registered Nurse | Anna Jaques Hospital, 25 Highland Ave, Newburyport, MA 01950 | 2020-02-18 |
| 1649752098 | William Edward Taylor | Social Worker | 25 Bromfield Street Side B, Newburyport, MA 01950 | 2018-09-02 |
| 1982113486 | Rachel Harris | Physical Therapy Assistant | 20 Beacon Ave, Unit 6, Newburyport, MA 01950 | 2017-09-27 |
| 1366998163 | Charles A. Nickou, D.m.d LLC | Dentist | 16 Harris Street, Newburyport, MA 01950 | 2016-08-31 |
| 1972954451 | Kathryn Jane Giguere | Nurse Practitioner | 7 Graf Road, Newburyport, MA 01950 | 2016-06-27 |
| 1487023230 | Christine Burgess | Social Worker | 180 Lowe Street, County Center for Health Rehabilitation, Newburyport, MA 01950 | 2015-09-23 |
| 1356746333 | Kelly Crotty | Occupational Therapist | 26 Washington St, Newburyport, MA 01950 | 2014-11-03 |
| 1225444961 | Christine Scotto | Licensed Practical Nurse | 41 Maple Lane, Monroe, NY 01950 | 2014-07-02 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1205189081 | Darryl Lemus | Counselor | 11 Market Squre Suite 6, Newburyport, MA 01950 | 2012-10-18 |
| Find all providers in zip 01950 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891867271 | Leslie Jeremy Sebba | Internal Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646140 | General Pulmonary Associates, Inc | Internal Medicine | 46 Obery St Ste 100, Plymouth, MA 02360-2237 | 2019-12-18 |
| 1457814469 | Sleep Medicine Associates Inc | Internal Medicine | 370 Faunce Corner Rd Fl 2, Dartmouth, MA 02747-1271 | 2019-04-08 |
| 1598234916 | Pulmcc LLC | Internal Medicine | 22 Agawam Rd, Winchester, MA 01890-3302 | 2018-11-14 |
| 1124487368 | Aba Somers Md LLC | Internal Medicine | 115 Lincoln St Fl 2, Framingham, MA 01702-6358 | 2016-02-16 |
| 1235547084 | Mass Lung & Allergy PC | Internal Medicine | 131 Old Rd To 9 Corner, Suite 410, Concord, MA 01742 | 2014-07-24 |
| 1528488459 | Kate Steinberg | Internal Medicine | 72 E Concord St # R304, Boston, MA 02118 | 2014-04-18 |
| 1831526193 | Apex Medical Associates LLC | Internal Medicine | 100 Highland St Ste 103, Milton, MA 02186-3801 | 2013-10-02 |
| 1992145437 | Lahey Clinic, Inc | Internal Medicine | 75 Herrick St., Suite 215, Lahey At Beverly, Beverly, MA 01915 | 2013-06-28 |
| 1619210846 | Wei He | Internal Medicine | 725 Albany St Fl 9, Boston, MA 02118-2526 | 2013-04-06 |
| 1528313210 | Assad Oskuei | Internal Medicine | 203 Plymouth Ave, Fall River, MA 02721-4300 | 2012-07-18 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURYPORT |
| Zip Code | 01950 |
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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.