Jonathan Bernard Randle (NPI# 1225576606, PAC ID# 0345525820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1225576606 |
| PAC ID by PECOS | 0345525820 |
| Professional Enrollment ID | I20170323002651 |
| Full Name | Jonathan Bernard Randle |
| Organization Legal Name | SOUTH ARKANSAS ORTHOPAEDICS AND SPORTS MEDICINE CENTER PLLC |
| Address |
2700 Vine St El Dorado AR 71730-6700 |
| Phone Number | 8708621144 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2769566470 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2700 Vine St, El Dorado, AR 71730-6700 | 8708621144 | SOUTH ARKANSAS ORTHOPAEDICS AND SPORTS MEDICINE CENTER PLLC |
| Organization Legal Name | SOUTH ARKANSAS ORTHOPAEDICS AND SPORTS MEDICINE CENTER PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marlene D Oliver | Physical Therapy | South Arkansas Orthopaedics and Sports Medicine Center Pllc | 2700 Vine St, El Dorado, AR 71730-6700 |
| Robert Monteith | Physical Therapy | South Arkansas Orthopaedics and Sports Medicine Center Pllc | 2700 Vine St, El Dorado, AR 71730-6700 |
| Street Address |
2700 VINE ST |
| City | EL DORADO |
| State | AR |
| Zip | 71730-6700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Daniels | Orthopedic Surgery | 2700 Vine St, El Dorado, AR 71730-6700 | |
| Gregg L Massanelli | Orthopedic Surgery | 2700 Vine St, El Dorado, AR 71730-6700 | |
| Marlene D Oliver | Physical Therapy | South Arkansas Orthopaedics and Sports Medicine Center Pllc | 2700 Vine St, El Dorado, AR 71730-6700 |
| Kenneth Gati | Orthopedic Surgery | 2700 Vine St, El Dorado, AR 71730-6700 | |
| Robert Monteith | Physical Therapy | South Arkansas Orthopaedics and Sports Medicine Center Pllc | 2700 Vine St, El Dorado, AR 71730-6700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Watson Ii | Family Medicine | 3108 N W Ave, El Dorado, AR 71730-2731 | |
| Tanya M Golden | Nurse Practitioner | Family Care of Southern Arkansas, Ltd | 3108 N W Ave, El Dorado, AR 71730-2731 |
| Steven T Sowell | Optometry | 2730 N W Ave, El Dorado, AR 71730-3124 | |
| Anita M Burleson | Nurse Practitioner | 1000 N College Ave, El Dorado, AR 71730-3711 | |
| Christie F Skinner | Nurse Practitioner | 1000 N College Ave, El Dorado, AR 71730-3711 | |
| Jerry H Grant | Family Medicine | 1320 N Highland Ave, El Dorado, AR 71730-3929 | |
| Diedra Hayman | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Terri A Rowe | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Richard L Sylvester | Psychologist, Clinical | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Alyssa Dykes | Clinical Social Worker | South Arkansas Regional Health Center | 715 N College Ave, El Dorado, AR 71730-4403 |
| Find all physicians in zip 71730 | |||
| City | EL DORADO |
| Zip Code | 71730 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | EL DORADO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jonathan Bernard Randle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.