Cleveland Randolph (NPI# 1124014287, PAC ID# 9739173345) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1124014287 |
| PAC ID by PECOS | 9739173345 |
| Professional Enrollment ID | I20040504000250 |
| Full Name | Cleveland Randolph |
| Organization Legal Name | CLEVELAND W. RANDOLPH JR MD,PA |
| Address |
1891 Beach Blvd Suite 200 Jacksonville FL 32250-2644 |
| Phone Number | 9042493743 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5496749004 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100140 | BAPTIST MEDICAL CENTER NASSAU |
| 100090 | FLAGLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1891 Beach Blvd, Suite 200, Jacksonville, FL 32250-2644 | 9042493743 | CLEVELAND W. RANDOLPH JR MD,PA |
| Organization Legal Name | CLEVELAND W. RANDOLPH JR MD,PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Thomas | Nurse Practitioner | Cleveland W. Randolph Jr Md,pa | 1891 Beach Blvd, Suite 200, Jacksonville, FL 32250-2644 |
| Lori Leaseburge | Obstetrics/gynecology | Cleveland W. Randolph Jr Md,pa | 1891 Beach Blvd, Suite 200, Jacksonville, FL 32250-2644 |
| Street Address |
1891 BEACH BLVD SUITE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32250-2644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Thomas | Nurse Practitioner | Cleveland W. Randolph Jr Md,pa | 1891 Beach Blvd, Suite 200, Jacksonville, FL 32250-2644 |
| Lori Leaseburge | Obstetrics/gynecology | Cleveland W. Randolph Jr Md,pa | 1891 Beach Blvd, Suite 200, Jacksonville, FL 32250-2644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Southwick-jones | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville Beach, FL 32250-1420 | |
| Candice P Ster | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville, FL 32250-1420 | |
| Selina W Beenen | Clinical Social Worker | 4300 Marsh Landing Blvd, Suite 204, Jacksonville Beach, FL 32250-1420 | |
| Kelly Gardner Rich | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
| Payvand Tiurchy | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
| Susan N Young | Psychologist, Clinical | 14286 Beach Blvd, Suite 22, Jacksonville, FL 32250-1569 | |
| Lauren Kay Smedley | Chiropractic | Cooper Chiropractic and Family Wellness Inc | 14333 Beach Blvd, Suite 2, Jacksonville, FL 32250-1587 |
| Lisa A Karr | Nurse Practitioner | Physicians Group Services Pa | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1695 |
| Jaclyn Taylor | Nurse Practitioner | Physicians Group Services Pa | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1695 |
| Howard J Green | Family Medicine | Family Care Partners of Northeast Florida LLC | 14444 Beach Blvd, Suite 27, Jacksonville, FL 32250-2079 |
| Find all physicians in zip 32250 | |||
| City | JACKSONVILLE |
| Zip Code | 32250 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | JACKSONVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Cleveland 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.