RANDOLPH L. ROYSTER JR. (NPI# 1972553790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972553790 |
| Entity Type | Individual |
| Full Name | RANDOLPH L. ROYSTER JR. |
| Credential | MD |
| Practice Address |
600 Hospital Dr Suite 10 Clyde NC 28721-8046 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 8284522320 |
| Practice Fax Number | 8284564707 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
19717 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDCOST PROVIDER NUMBER | B4334 | 01 |
| NC | BCBS OF NC PROVIDER # | 130TY | 01 |
| NC | 89130TY | 05 | |
| NC | UTD. HLTHCR PROVIDER # | 24-00057 | 01 |
| NC | AETNA PROVIDER NUMBER | 4626651 | 01 |
| FL | GATEWAY HEALTH | 1190948 | 01 |
| NC | CIGNA PROVIDER NUMBER | 8770417002 | 01 |
| NC | RAILROAD MCARE PROVIDER # | 92-0006817 | 01 |
| Street Address |
600 HOSPITAL DR SUITE 10 |
| City | CLYDE |
| State | NC |
| Zip Code | 28721-8046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720419955 | Radiation Therapy Associates of Western North Carolina Pa | Internal Medicine | 600 Hospital Dr, Suite 4, Clyde, NC 28721-8046 | 2013-12-13 |
| 1699104752 | Accuquest Hearing Centers LLC | Clinic/Center | 600 Hospital Dr, Suite 6, Clyde, NC 28721-8024 | 2013-11-08 |
| 1699053942 | Haywood Regional Medical Center | Internal Medicine | 600 Hospital Dr, Suite 9, Clyde, NC 28721-8024 | 2011-08-03 |
| 1417186602 | Blue Ridge Ultrasound, Inc. | Clinic/Center | 600 Hospital Dr, Suite 4, Clyde, NC 28721-8024 | 2009-07-08 |
| 1114182359 | Michael William Vavra | Psychiatry & Neurology | 600 Hospital Dr, Ste 9, Clyde, NC 28721-8024 | 2008-07-28 |
| 1437277514 | Leslie D. Mcdowell | Nurse Practitioner | 600 Hospital Dr, Suite 9, Clyde, NC 28721-8024 | 2007-03-27 |
| 1285655308 | Christofer Catterson Md Pa | Specialist | 600 Hospital Dr, Suite #3, Clyde, NC 28721-8024 | 2006-07-22 |
| 1063431849 | Scott D Skibo | Internal Medicine | 600 Hospital Dr, Suite 4, Clyde, NC 28721-8024 | 2006-07-19 |
| 1437184595 | Nancy Diane Stamey | Specialist | 600 Hospital Dr, Suite 8, Clyde, NC 28721-8024 | 2006-07-11 |
| 1063452506 | Barton R. Paschal | Internal Medicine | 600 Hospital Dr, Suite 10b, Clyde, NC 28721-8024 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659828366 | Arcadia Pathology Network, Pllc | Pathology | 262 Leroy George Dr Pathology, Clyde, NC 28721 | 2016-09-10 |
| 1063760999 | Jenny Helms Caldwell | Pharmacist | 231 Ironwood Dr., Clyde, NC 28721 | 2012-08-27 |
| 1306112958 | Lynette Mount | Specialist/Technologist | 76 Leroy George Drive, Clyde, NC 28721 | 2012-03-28 |
| 1821242926 | Haywood Regional Medical Center | Clinic/Center | 75 Leroy George Drive, Clyde, NC 28721 | 2008-11-17 |
| 1770757338 | Colin James Bridger | Physical Therapist | 262 Leroy George Dve, Clyde, NC 28721 | 2008-04-15 |
| 1851585236 | Lori Anne Gerber | Counselor | 33 Sharon Lynne Way, Clyde, NC 28721 | 2007-08-29 |
| 1487779328 | Sandra Y Fowler | Social Worker | 73 Main St., Clyde, NC 28721 | 2007-03-20 |
| 1164593810 | County of Haywood | Case Management | 157 Paragon Pkwy Ste 300, Clyde, NC 28721 | 2006-11-13 |
| 1992779730 | Leroy S Crapanzano Jr. | Dentist | 157 Paragon Parkway, Haywood County Health Department, Clyde, NC 28721 | 2006-02-16 |
| 1063492007 | Ann Marie Mcdonald | Nurse Practitioner | 360 Hospital Dr Ste 120, Clyde, NC 28721 | 2006-01-17 |
| Find all providers in zip 28721 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609253038 | Jarred Paul Tanksley | Radiology | 14 Medical Park Loop, Sylva, NC 28779-5221 | 2015-05-06 |
| 1336196203 | Scott Lee Sailer | Radiology | 300 Ashville Ave, Suite 110, Cary, NC 27518-8682 | 2006-05-27 |
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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.