Theodore John Randolph (NPI# 1831197318, PAC ID# 9436289436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1831197318 |
| PAC ID by PECOS | 9436289436 |
| Professional Enrollment ID | I20100618000229 |
| Full Name | Theodore John Randolph |
| Address |
3 Medical Dr C Port Jefferson Station NY 11776-1597 |
| Phone Number | 6319287785 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3 Medical Dr C, Port Jefferson Station, NY 11776-1597 | 6319287785 |
| Street Address |
3 MEDICAL DR C |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip | 11776-1597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varghese P Cherian | Diagnostic Radiology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Todd Hoffman | Physical Therapy | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Rocco F Caruso | Hematology/oncology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Alfredo Enrique Torres | Hematology/oncology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Diane Clausen | Hospice/palliative Care | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Lauren Mcgarty | Registered Dietitian Or Nutrition Professional | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Jared M Dunkin | Diagnostic Radiology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Patricia Walsh Perez | Certified Clinical Nurse Specialist (cns) | 55 Nesconset Hwy, Suite 3, Port Jefferson Station, NY 11776 | |
| Lynnann S Obray-donohue | Qualified Audiologist | 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776 | |
| Antoun Saba Mitromaras | General Practice | 509 Patchogue Rd, Port Jefferson Station, NY 11776-1006 | |
| Find all physicians in zip 11776 | |||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
| Specialty | PODIATRY |
| City + Specialty | PORT JEFFERSON STATION + PODIATRY |
Please comment or provide details below to improve the information on Theodore John 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.