David E Randolph (NPI# 1497709026, PAC ID# 3678574191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497709026 |
| PAC ID by PECOS | 3678574191 |
| Professional Enrollment ID | I20070126000243 |
| Full Name | David E Randolph |
| Organization Legal Name | OSH-MI PHYSICIANS GROUP PC |
| Address |
3525 Saginaw Rd Burton MI 48529 |
| Phone Number | 8102223040 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7810282191 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3525 Saginaw Rd, Burton, MI 48529 | 8102223040 | OSH-MI PHYSICIANS GROUP PC |
| 600 E Blvd, Elkhart, IN 46514-2483 | 5743897393 | APOGEE MEDICAL GROUP INDIANA PC |
| Organization Legal Name | OSH-MI PHYSICIANS GROUP PC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Marie Woodcock | Nurse Practitioner | Osh-mi Physicians Group PC | 102 W Pierson Rd, Flint, MI 48505-3348 |
| Ariola Dixon | Nurse Practitioner | Osh-mi Physicians Group PC | 1142 E 9 Mile Rd, Hazel Park Clinic, Hazel Park, MI 48030-1901 |
| Timanika Ataysha Dansby | Nurse Practitioner | Osh-mi Physicians Group PC | 18610 Fenkell St, Detroit, MI 48223-2378 |
| Joy A Sandy | Nurse Practitioner | Osh-mi Physicians Group PC | 3525 Saginaw Rd, Burton, MI 48529 |
| Azsha R Matthews | Nurse Practitioner | Osh-mi Physicians Group PC | 13667 Eureka Rd, Southgate Clinic, Southgate, MI 48195-1332 |
| Rachel L Sabb | Internal Medicine | Osh-mi Physicians Group PC | 11260 E Jefferson Ave, Jefferson Village Clinic, Detroit, MI 48214-3320 |
| Rachael Ann Kasperowicz | Family Medicine | Osh-mi Physicians Group PC | 27155 Cherry Hill Rd, Inkster, MI 48141-1204 |
| Luma Beydoun | Nurse Practitioner | Osh-mi Physicians Group PC | 18610 Fenkell St, Detroit, MI 48223-2378 |
| Esther N Rogers | Nurse Practitioner | Osh-mi Physicians Group PC | 18610 Fenkell St, Detroit, MI 48223-2378 |
| Derrick Anthony Williamson | Family Medicine | Osh-mi Physicians Group PC | 1142 E 9 Mile Rd, Hazel Park Clinic, Hazel Park, MI 48030-1901 |
| Street Address |
3525 SAGINAW RD |
| City | BURTON |
| State | MI |
| Zip | 48529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy A Sandy | Nurse Practitioner | Osh-mi Physicians Group PC | 3525 Saginaw Rd, Burton, MI 48529 |
| Seth R Bernard | Family Medicine | Osh-mi Physicians Group PC | 3525 Saginaw Rd, Burton, MI 48529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick Gramith | Family Medicine | Hamilton Community Health Network Inc | G3375 S Saginaw St, Burton, MI 48529-1277 |
| Gary T Roome | Family Medicine | Hamilton Community Health Network Inc | G3375 S Saginaw St, Burton, MI 48529-1277 |
| Eraina Poole | Clinical Social Worker | Hamilton Community Health Network Inc | G3375 S Saginaw St, Burton, MI 48529-1277 |
| Marian E Deames | Family Medicine | Hamilton Community Health Network Inc | G3375 S Saginaw St, Burton, MI 48529-1277 |
| Shelia Thomas | Nurse Practitioner | Hamilton Community Health Network Inc | G3375 S Saginaw St, Burton, MI 48529-1277 |
| Jammie K Pierson | Nurse Practitioner | Hamilton Community Health Network Inc | G3375 S Saginaw St, Burton, MI 48529-1277 |
| Matthew P Dickson | Psychologist, Clinical | 1441 E Maple Ave, Burton, MI 48529-2059 | |
| Lonie C Harris | Chiropractic | 1358 E Bristol Rd, Burton, MI 48529-2212 |
| City | BURTON |
| Zip Code | 48529 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BURTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David E 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.