DR. EDWARD RANDOLPH NOBLE JR.


Address: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807
Phone: 3154522555

DR. EDWARD RANDOLPH NOBLE JR. (NPI# 1063404820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063404820
Entity Type Individual
Full Name DR. EDWARD RANDOLPH NOBLE JR.
Credential M.D.
Practice Address 5100 W Taft Rd
Suite 2a
Liverpool
NY 13088-3807
Mailing Address 4567 Crossroads Park Dr
2nd Floor
Liverpool
NY 13088-3589
Practice Telephone 3154522555
Practice Fax Number 3154522559
Mailing Telephone 3152952100
Mailing Fax Number 3152952125
Enumeration Date 2005-08-18
Last Update Date 2007-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0700X Radiology
Specialization: Neuroradiology
199779 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00555500 05
NY 0565508 05
NY 02224500 05
NY 00555440 05

Office Location

Street Address 5100 W TAFT RD
SUITE 2A
City LIVERPOOL
State NY
Zip Code 13088-3807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023015500 Jody S Bleier Internal Medicine 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088-3807 2005-06-30
1528620812 Colleen Byrnes Nurse Practitioner 5100 W Taft Rd, Liverpool, NY 13088-3807 2019-07-08
1851866727 Kathryn Quinn Manion Clinic/Center 5100 W Taft Rd, Liverpool, NY 13088-3807 2018-10-08
1225514623 Shannon M Roach Nurse Practitioner 5100 W Taft Rd, Liverpool, NY 13088-3807 2018-07-18
1497263826 Kimberly Cleary Registered Nurse 5100 W Taft Rd, Liverpool, NY 13088-3807 2018-01-19
1184077885 Maia Czarnecki Physician Assistant 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 2016-07-18
1174974216 Jenna Marie Laskey Family Medicine 5100 W Taft Rd, Liverpool, NY 13088-3807 2016-06-30
1669838108 Phitsamai Thatvihane Nurse Practitioner 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 2016-01-14
1992160188 Melissa Buttner Physician Assistant 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 2015-12-15
1538532940 Chelsey Brooks Physician Assistant 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 2015-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245878966 Anthony Edward Blumetti Psychologist 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 2019-12-12
1609350016 Alice Nellenbach Physical Therapy Assistant 346 Electronics Pkwy, Liverpool, NY 13088 2018-09-20
1043741457 Dawn Marie Thomas Licensed Practical Nurse 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 2017-03-27
1154775633 Arielle L Leonard Massage Therapist 609 7th N. Street, Suite 2, Liverpool, NY 13088 2016-04-20
1942664362 Accessibility Solutions, Inc. Contractor 115 Luther Avenue, Liverpool, NY 13088 2016-04-12
1497176333 Sergey Golovko Psychiatry & Neurology 125 Sun Harbor Dr, Liverpool, NY 13088 2013-12-19
1205275286 Brandon William Crandall Nurse Practitioner 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 2013-06-23
1184976805 Audrey Irene Tyszka Social Worker 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 2012-10-04
1790049096 Kelley Beth Burt Speech-Language Pathologist 110 Elwood Davis Road, Liverpool, NY 13088 2012-07-02
1811288954 Nedim Ruhotina Urology 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 2011-04-24
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Taxonomy Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164414157 David P. Kunz Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2005-08-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568926822 Frederic A Mendelsohn Neurodiagnostics Inc Radiology 30 Seaside Dr, Port Jefferson, NY 11777-1132 2019-01-30
1639580244 Julian Felder Radiology 20 Markwood Rd, Forest Hills, NY 11375-6050 2014-05-16
1982045845 Reade Andrew De Leacy Radiology 1450 Madison Avenue, Box 1136, Klingenstein Clinical Center, 1-north, New York, NY 10029-6574 2013-07-08
1053653733 Joanne Michelle Rispoli Radiology 560 1st Ave # 2, New York, NY 10016-6402 2013-03-20
1619215167 Asim Maher Radiology 8342 241st St, Bellerose, NY 11426 2013-01-17
1568727121 Akm Ashfaqur Rahman Radiology 23 Hadley Ct, Pittsford, NY 14534-2838 2012-07-10
1740554286 Branch Medical, PC Radiology 35 Pinelawn Rd., Suite 112, Melville, NY 11747 2012-03-01
1437426483 John William Duncan Radiology 7 E 14th St Apt 201, New York, NY 10003-3117 2011-11-18
1750685806 Prachi Dubey Radiology 630 W168th Street # 28, New York, NY 10032 2011-01-04
1275850810 Joseph Dobtsis Radiology 1445 Shore Pkwy Apt 4t, Brooklyn, NY 11214-6142 2010-04-21
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Competitor

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City LIVERPOOL
Zip Code 13088

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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