Randolph J Penn (NPI# 1780626689, PAC ID# 8325947914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1780626689 |
| PAC ID by PECOS | 8325947914 |
| Professional Enrollment ID | I20040102000434 |
| Full Name | Randolph J Penn |
| Address |
1905 Horton Rd Jackson MI 49203-5519 |
| Phone Number | 5177847443 |
| Gender | M |
| Credential | DC |
| Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
| Graduation Year | 1991 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1905 Horton Rd, Jackson, MI 49203-5519 | 5177847443 |
| Street Address |
1905 HORTON RD |
| City | JACKSON |
| State | MI |
| Zip | 49203-5519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Orson P Cardon Jr. | Oral Surgery | Cardon and Sorrow Oral and Maxillofacial Surgery Plc | 683 Robinson Rd, Jackson, MI 49203-1155 |
| Ronnie R Sorrow Jr. | Oral Surgery | Cardon and Sorrow Oral and Maxillofacial Surgery Plc | 683 Robinson Rd, Jackson, MI 49203-1155 |
| William B Bivens | Family Medicine | W A Foote Memorial Hospital Inc | 2424 W Washington Ave, 200 Henry Ford Allegiance Addiction Recovery Center, Jackson, MI 49203-1236 |
| Bricker Bradley Buseth | Optometry | 800 S Brown St, Jackson, MI 49203-1400 | |
| Kathleen Av Lavery | Certified Nurse Midwife (cnm) | 500 S Jackson St, Jackson, MI 49203-1709 | |
| Scott M Manchester | Chiropractic | 3634 Mccain Rd, Suite 7, Jackson, MI 49203-2576 | |
| Stacey M Nyland | Physician Assistant | Dermatology and Skin Surgery Center | 2121 Spring Arbor Rd, Jackson, MI 49203-2707 |
| Juanita P Moses | Pediatric Medicine | Dermatology and Skin Surgery Center | 2121 Spring Arbor Rd, Jackson, MI 49203-2707 |
| Eugene Willoughby | Internal Medicine | 2425 Spring Arbor Rd, Jackson, MI 49203-2713 | |
| Kevin Kay Taylor | Physician Assistant | Springcrest Family Physicians, P.C. | 2424 Spring Arbor Rd, Jackson, MI 49203-2748 |
| Find all physicians in zip 49203 | |||
| City | JACKSON |
| Zip Code | 49203 |
| Specialty | CHIROPRACTIC |
| City + Specialty | JACKSON + CHIROPRACTIC |
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| 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.