Garrett A Randolph (NPI# 1942712773, PAC ID# 0840557369) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1942712773 |
| PAC ID by PECOS | 0840557369 |
| Professional Enrollment ID | I20171207002664 |
| Full Name | Garrett A Randolph |
| Organization Legal Name | KNADA, PA |
| Address |
77 Court St Bangor ME 04401-4723 |
| Phone Number | 2079410879 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6204191471 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 77 Court St, Bangor, ME 04401-4723 | 2079410879 | KNADA, PA |
| Organization Legal Name | KNADA, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane D O Malley | Clinical Social Worker | Knada, Pa | 77 Court St, Bangor, ME 04401-4723 |
| William L Donahue | Clinical Social Worker | Knada, Pa | 77 Court St, Bangor, ME 04401-4723 |
| Dianna G Soo | Clinical Social Worker | Knada, Pa | 77 Court St, Bangor, ME 04401-4723 |
| Darin E Knapp | Clinical Social Worker | Knada, Pa | 77 Court St, Bangor, ME 04401-4723 |
| Street Address |
77 COURT ST |
| City | BANGOR |
| State | ME |
| Zip | 04401-4723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane D O Malley | Clinical Social Worker | Knada, Pa | 77 Court St, Bangor, ME 04401-4723 |
| William L Donahue | Clinical Social Worker | Knada, Pa | 77 Court St, Bangor, ME 04401-4723 |
| Dianna G Soo | Clinical Social Worker | Knada, Pa | 77 Court St, Bangor, ME 04401-4723 |
| Darin E Knapp | Clinical Social Worker | Knada, Pa | 77 Court St, Bangor, ME 04401-4723 |
| Loida E Ruane | Clinical Social Worker | Behavioral Health Center | 77 Court St, Bangor, ME 04401-4723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karie Anne Davis | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Elizabeth A Brewer | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Heidi Lee Niles | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ashley Diane Philibert | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Jaimee Leigh Perry | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Matthew Timothy Soucy | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Michael James Strahan | Occupational Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Karen E Mitchell | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Ann M Covey | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Susan Allen | Physical Therapy | Covey Physical Therapy | 2263 Route 2, Hermon, ME 04401-0605 |
| Find all physicians in zip 04401 | |||
| City | BANGOR |
| Zip Code | 04401 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BANGOR + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Garrett A Randolph.
| 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.