Randelon D Smith (NPI# 1790999753, PAC ID# 9638255086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1790999753 |
| PAC ID by PECOS | 9638255086 |
| Professional Enrollment ID | I20080325000543 |
| Full Name | Randelon D Smith |
| Organization Legal Name | GASTROINTESTINAL SPECIALISTS FOUNDATION, INC. |
| Address |
1229 Hwy 77 1 Marion AR 72364 |
| Phone Number | 9017613900 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 9830334010 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| 040156 | |
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| Address | Phone | Organization |
|---|---|---|
| 1500 W Poplar Ave, Collierville, TN 38017-0601 | GASTROINTESTINAL SPECIALISTS FOUNDATION, INC. | |
| 2100 Exeter Rd, Germantown, TN 38138-3966 | 9017573424 | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
| 1229 Hwy 77 1, Marion, AR 72364 | 9017613900 | GASTROINTESTINAL SPECIALISTS FOUNDATION, INC. |
| 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 | 9017613900 | GASTROINTESTINAL SPECIALISTS FOUNDATION, INC. |
| 80 Humphreys Ctr Dr, Suite 210, Memphis, TN 38120-2353 | 9017613900 | GASTROINTESTINAL SPECIALISTS FOUNDATION, INC. |
| Organization Legal Name | GASTROINTESTINAL SPECIALISTS FOUNDATION, INC. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley May | Nurse Practitioner | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 |
| Christina Malone | Nurse Practitioner | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 |
| William P Flowers | Certified Registered Nurse Anesthetist (crna) | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 |
| James Zebedee Whatley Iv | Gastroenterology | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 |
| Angela P Williams | Nurse Practitioner | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 |
| Angela L Pulliam | Nurse Practitioner | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 |
| Andre C Thompson | Pathology | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 |
| Joseph R Feltman | Certified Registered Nurse Anesthetist (crna) | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 |
| Michael W Sims | Certified Registered Nurse Anesthetist (crna) | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 210, Memphis, TN 38120-2353 |
| Lakina Richmond | Nurse Practitioner | Gastrointestinal Specialists Foundation, Inc. | 80 Humphreys Ctr Dr, Suite 200, Memphis, TN 38120-2352 |
| Street Address |
1229 HWY 77 1 |
| City | MARION |
| State | AR |
| Zip | 72364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilsa Sanchez | General Practice | 200 E Military Rd, Marion, AR 72364-1751 | |
| Jacinta Iwuji | Nurse Practitioner | Kejo Medical Pllc | 200 E Military Rd-ste, 1 Marion Primary Care Clinic, Marion, AR 72364-1828 |
| Oluchi Ezeume | Nurse Practitioner | Kejo Medical Pllc | 200 E Military Rd-ste, 1 Marion Primary Care Clinic, Marion, AR 72364-1828 |
| Jacquelyn D Gilbert | Physical Therapy | 250 Manor St, Marion, AR 72364-1936 | |
| Fallon E Wyatt | Nurse Practitioner | Marion Minor Medical LLC | 136 Block St, Marion, AR 72364-1956 |
| Kristy Anne Whited | Nurse Practitioner | Marion Minor Medical LLC | 136 Block St, Marion, AR 72364-1956 |
| Micheal D Charlton | Nurse Practitioner | Marion Minor Medical LLC | 136 Block St, Marion, AR 72364-1956 |
| David M Brick | Occupational Therapy | Fenter Physical Therapy LLC | 2860 I55 Service Rd, Suite C, Marion, AR 72364-2110 |
| Matthew B Tharp | Physical Therapy | Fenter Physical Therapy LLC | 2860 I55 Service Rd, Suite C, Marion, AR 72364-2110 |
| Ashley Fox | Physical Therapy | Fenter Physical Therapy LLC | 2860 I55 Service Rd, Suite C, Marion, AR 72364-2110 |
| Find all physicians in zip 72364 | |||
| City | MARION |
| Zip Code | 72364 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | MARION + GASTROENTEROLOGY |
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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.