RANDOLPH S. POWERS


Address: 100 Brooksby Village Dr, Peabody, MA 01960-1438
Phone: 9785367850

RANDOLPH S. POWERS (NPI# 1962407536) 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) 1962407536
Entity Type Individual
Full Name RANDOLPH S. POWERS
Credential M.D.
Practice Address 100 Brooksby Village Dr
Peabody
MA 01960-1438
Practice Telephone 9785367850
Practice Fax Number 8772809727
Mailing Telephone 9785367850
Mailing Fax Number 8772809727
Enumeration Date 2005-06-20
Last Update Date 2011-05-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
80799 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NEIGHBORHOOD HEALTH PLAN 0016036 01
HEALTHSOURCE 1440628 01
NETWORK HEALTH 968005 01
MA BLUE CROSS BLUE SHIELD J31185 01
RAILROAD MEDICARE P00228069 01
MA HARVARD PILGRIM HEALTHCAR AA32263 01
RAILROAD MEDICARE P00602018 01
EVERCARE 07-02617 01
NH ANTHEM BLUE CROSS B07616 01
MA EVERCARE 0132658 01
CIGNA 1440628 01
BCBS 1962407536 01
MA TUFTS HEALTH PLAN 080799 01
NH NEW HAMPSHIRE MEDICAID 30205089 01
MA 3139298 05

Other Providers RANDOLPH POWERS

NPI Name Taxonomy Address Enumeration
1710320668 Randolph Patrick Powers Pharmacist 7776 Winghaven Blvd, O Fallon, MO 63368-3601 2013-04-10

Office Location

Street Address 100 BROOKSBY VILLAGE DR
City PEABODY
State MA
Zip Code 01960-1438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881104032 Caroline Margaret Sims Social Worker 100 Brooksby Village Dr, Peabody, MA 01960-1438 2017-10-02
1639447006 Erickson Health Medical Group of Massachusetts, P.c . Assisted Living Facility 100 Brooksby Village Dr, Peabody, MA 01960-1438 2011-12-13
1215229620 Sarah Robertson Nurse Practitioner 100 Brooksby Village Dr, Peabody, MA 01960-1438 2011-05-04
1265688352 Erickson Health Medical Group of Ma Durable Medical Equipment & Medical Supplies 100 Brooksby Village Dr, Peabody, MA 01960-1438 2008-08-08
1669656187 Donna M Agave Nurse Practitioner 100 Brooksby Village Dr, Peabody, MA 01960-1438 2007-12-19
1992852099 Dennis A Tuck Podiatrist 100 Brooksby Village Dr, Peabody, MA 01960-1438 2007-01-04
1326115106 Main Street Pharmacy, LLC Pharmacy 100 Brooksby Village Dr, Peabody, MA 01960-1438 2006-11-29
1154337681 Ajaykumar S Patel Internal Medicine 100 Brooksby Village Dr, Peabody, MA 01960-1438 2006-08-01
1164442919 Erickson Health Medical Group of Massachusetts PC Family Medicine 100 Brooksby Village Dr, Peabody, MA 01960-1438 2006-07-21
1326077124 Janis Carmody Nurse Practitioner 100 Brooksby Village Dr, Peabody, MA 01960-1438 2006-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962020321 Kathleen Marie Cliffe Nurse Practitioner 15 Sandra Rd, Peabody, MA 01960 2020-07-10
1801398102 Janis Melanson Counselor Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 2018-03-02
1679082036 Kelsey Ann Lima Social Worker 9 Centennial Drive, Suite 202, Peabody, MA 01960 2017-09-28
1609394485 Victoria Jade Olechowski Specialist/Technologist 1002 Crane Brook Way, Peabody, MA 01960 2017-08-31
1841715711 Alexandra Lee Chasse Counselor 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 2017-08-11
1275982936 Miguel A Roque Dentist 6 Essex Center Drive Suite 110, Peabody, MA 01960 2016-06-03
1528412061 Kabamedicalcorporation Durable Medical Equipment & Medical Supplies 484lowell Street, Peabody, MA 01960 2016-04-21
1437510815 Ana Tereza T. Wescott Dentist 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 2016-03-14
1225496474 Ashley Motta Counselor 24 Jennifer Lane, Peabody, MA 01960 2016-02-03
1578942645 Cerebral Palsy of Eastern Mass Incorporated Early Intervention Provider Agency 6 Stratis Way, Peabody, MA 01960 2015-05-22
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316081003 John F Donaldson Family Medicine 14 Roundwood Rd, Natick, MA 01760-2131 2007-02-16
1811053440 Jerome Lewis Avorn Family Medicine Brigham and Women's Hospital Division of Pharmaco, 1620 Tremont Street, Boston, MA 02120 2006-12-28
1386685188 Curtis Mock Family Medicine 23 Kelton St, Rehoboth, MA 02769-2530 2006-06-10
1932147444 Stephanie L Groll Family Medicine 274 Spring St, Marshfield, MA 02050-5828 2006-06-04
1922057017 Murali Ramadurai Family Medicine 83 Littlefield Rd, Newton, MA 02459-3010 2006-05-08
1669446597 Bruce Steven Finke Family Medicine 45 Vernon St, Northampton, MA 01060-2845 2006-02-15
1427022672 Fahim A Kazi Family Medicine 98 Shaker Rd, East Longmeadow, MA 01028 2006-02-15
1831160860 Daphne Eleanor Schneider Family Medicine 236 Highland Ave, 2nd Floor, Somerville, MA 02143-1495 2006-01-28
1396723110 David Wahl Family Medicine 62 Market St, Lynn, MA 01902 2006-01-03
1417943382 Richard Peter Brunswick Family Medicine 43 Center St, Suite 302, Northampton, MA 01060-3063 2005-09-26
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Competitor

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City PEABODY
Zip Code 01960

Improve Information

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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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