Randall A Hamilton (NPI# 1093104135, PAC ID# 7012231137) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1093104135 |
| PAC ID by PECOS | 7012231137 |
| Professional Enrollment ID | I20150121000518 |
| Full Name | Randall A Hamilton |
| Organization Legal Name | MAIN STREET ANESTHESIA OF NEW MEXICO, LLC |
| Address |
117 E 19th St Lovelace Regional Hospital Roswell Roswell NM 88201-5151 |
| Phone Number | 5756277000 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3476807538 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450656 | NACOGDOCHES MEDICAL CENTER |
| 320009 | LOVELACE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9440 Poppy Dr, Dallas, TX 75218-3652 | 2143246100 | MAIN STREET ANESTHESIA OF TEXAS PA |
| 4948 Ne Stallings Dr, Surgery Center of Nacogdoches, Nacogdoches, TX 75965-1265 | 9365683595 | MAIN STREET ANESTHESIA OF TEXAS PA |
| 117 E 19th St, Lovelace Regional Hospital Roswell, Roswell, NM 88201-5151 | 5756277000 | MAIN STREET ANESTHESIA OF NEW MEXICO, LLC |
| Organization Legal Name | MAIN STREET ANESTHESIA OF NEW MEXICO, LLC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dirk Bradley Bahoravitch | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Tara L Orr | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Michael Arthur Anderson | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Laura Bauders | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Elliot S Marcus | Anesthesiology | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Douglas L Brown | Anesthesiology | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Jarrod A Russo | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Paul Jeffrey Butler | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Timothy M Candelaria | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Lee W Harper | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Street Address |
117 E 19TH ST LOVELACE REGIONAL HOSPITAL ROSWELL |
| City | ROSWELL |
| State | NM |
| Zip | 88201-5151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Rader | Internal Medicine | D.m.c. Hospitalist, P.C. | 117 E 19th St, Roswell, NM 88201-5151 |
| Kimberly Brandt | Certified Registered Nurse Anesthetist (crna) | D.m.c. Hospitalist, P.C. | 117 E 19th St, Roswell, NM 88201-5151 |
| Nicole M Stivers | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 117 E 19th St, Lovelace Regional Hospital Roswell, Roswell, NM 88201-5151 |
| Jose E Pinto | Pathology | Ameripath Lubbock 501a Corporation | 117 E 19th St, Pathology Department, Roswell, NM 88201-5151 |
| Surender R Bodhireddy | Pathology | Ameripath Lubbock 501a Corporation | 117 E 19th St, Pathology Department, Roswell, NM 88201-5151 |
| Ronald S Awtry Iii | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 117 E 19th St, Lovelace Regional Hospital Roswell, Roswell, NM 88201-5151 |
| Paul Hakim | Diagnostic Radiology | High Plains Radiological Assoc | 117 E 19th St, Roswell, NM 88201-5151 |
| Oscar J Hernandez | Internal Medicine | D.m.c. Hospitalist, P.C. | 117 E 19th St, Roswell, NM 88201-5151 |
| Joshua C Zarzour | Certified Registered Nurse Anesthetist (crna) | D.m.c. Hospitalist, P.C. | 117 E 19th St, Roswell, NM 88201-5151 |
| Charles D Osborn | Pathology | Ameripath Lubbock 501a Corporation | 117 E 19th St, Pathology Department, Roswell, NM 88201-5151 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maurice W Geldert | Optometry | 4511 N Main St, Suite A, Roswell, NM 88201-0309 | |
| Cynthia Serrano | Occupational Therapy | Roswell Hand Clinic and Occupational Therapy Center | 110 W Country Club Rd, Roswell, NM 88201-0618 |
| Patricia L Davis | Family Medicine | 1206 W 2nd St, Roswell, NM 88201-2010 | |
| Vijay Chechani | Internal Medicine | 1717 W 2nd St, Suite 172, Roswell, NM 88201-2027 | |
| Nathan Padilla | Clinical Social Worker | 1717 W 2nd St, Suite 100, Roswell, NM 88201-2029 | |
| Douglas K Gillies | Chiropractic | 711 W 2nd St, Roswell, NM 88201-3001 | |
| Darrel A Elwell | Physical Therapy | 800 W 2nd St, Sun Country Physical Therapy, Roswell, NM 88201-3004 | |
| Angelica M Rodriguez | Qualified Audiologist | 1000 W 4th St, Roswell, NM 88201-3038 | |
| John C Henry | Dermatology | 207 N Union Ave, Suite C, Roswell, NM 88201-3068 | |
| Terry Todd | Chiropractic | Liberty Chiropractic LLC | 1500 N Washington, Roswell, NM 88201-3250 |
| Find all physicians in zip 88201 | |||
| City | ROSWELL |
| Zip Code | 88201 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ROSWELL + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Randall A Hamilton.
| 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.