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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
80799 | MA | Allopathic & Osteopathic Physicians |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710320668 | Randolph Patrick Powers | Pharmacist | 7776 Winghaven Blvd, O Fallon, MO 63368-3601 | 2013-04-10 |
Street Address |
100 BROOKSBY VILLAGE DR |
City | PEABODY |
State | MA |
Zip Code | 01960-1438 |
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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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 |
Find all providers in zip 01960 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
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. |
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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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.