DR. RANDOLPH EDWARD SMITH


Address: 420 W Magnetic St, Marquette, MI 49855-2711
Phone: 9062289440

DR. RANDOLPH EDWARD SMITH (NPI# 1063589216) 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) 1063589216
Entity Type Individual
Full Name DR. RANDOLPH EDWARD SMITH
Credential MD
Practice Address 420 W Magnetic St
Marquette
MI 49855-2711
Practice Telephone 9062289440
Mailing Telephone 9062289440
Enumeration Date 2006-11-30
Last Update Date 2007-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
4301046452 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 2746796 05
MI MOLINA HEALTHCARE 2746496 01
WI 34031400 05
MI HEALTHPLAN OF MI 2746796 01
MI PREFERRED ONE 1022271 01

Other Providers RANDOLPH SMITH

NPI Name Taxonomy Address Enumeration
1891195905 Randolph Smith Community Health Worker 7651 Charlton Cir, Northfield, OH 44067-2472 2014-08-26
1487176657 Randolph Wes Smith Speech-Language Pathologist 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 2017-07-10
1518949973 Randolph Relihan Smith Surgery 1348 Walton Way, Suite 6300, Augusta, GA 30901-5104 2005-11-18
1710970132 Randolph Todd Smith Ophthalmology 3300 W Anderson Ln, #308, Austin, TX 78757-1023 2005-08-31

Office Location

Street Address 420 W MAGNETIC ST
City MARQUETTE
State MI
Zip Code 49855-2711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417959750 Marquette General Hospital, Inc. General Acute Care Hospital 420 W Magnetic St, Marquette, MI 49855-2711 2005-06-01
1811382641 Dlp Marquette General Hospital LLC General Acute Care Hospital 420 W Magnetic St, Marquette, MI 49855-2700 2015-03-30
1720429566 Carol Buentello Nurse Practitioner 420 W Magnetic St, Marquette, MI 49855-2700 2013-07-09
1902157027 Dlp Marquette Physician Practices Inc Radiology 420 W Magnetic St, Marquette, MI 49855-2700 2012-09-28
1174871305 Dlp Marquette General Hospital LLC Rehabilitation, Substance Use Disorder Unit 420 W Magnetic St, Marquette, MI 49855-2700 2012-08-20
1366790727 Dlp Marquette Physician Practices Inc Physician Assistant 420 W Magnetic St, Marquette, MI 49855-2700 2012-08-16
1699022590 Dlp Marquette General Hospital LLC Hearing Aid Equipment 420 W Magnetic St, Marquette, MI 49855-2700 2012-08-09
1942505268 Marquette General Hospital Nurse Anesthetist, Certified Registered 420 W Magnetic St, Marquette, MI 49855-2711 2011-01-18
1598078933 Marquette General Health Systems General Acute Care Hospital 420 W Magnetic St, Marquette, MI 49855-2711 2010-07-14
1164746475 Tricia Leigh Tollenaar Nurse Anesthetist, Certified Registered 420 W Magnetic St, Anesthesia Dept., Marquette, MI 49855-2711 2010-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023665064 Scott Allen Poirier Physician Assistant 850 West Baraga Avenue, Marquette, MI 49855 2019-08-23
1730734831 Katelyn Tourville Physician Assistant 1401 Presque Isle Ave-health Center, Marquette, MI 49855 2019-08-06
1932681095 Katelyn Longanbach Physical Therapist 841 W Washington St Ste 500, Marquette, MI 49855 2018-09-05
1366943979 Meijer, Inc. Durable Medical Equipment & Medical Supplies 3630 Us 41 W, Marquette, MI 49855 2018-02-28
1518466143 Orthopaedic Surgery Associates of Marquette PC Prosthetic/Orthotic Supplier 841 West Washington Street, Suite 100, Marquette, MI 49855 2018-02-09
1376075598 Pamela Baynton Licensed Practical Nurse 2292 U.S. 41 W, Marquette, MI 49855 2017-03-28
1548709454 Allison Jean Czarny Registered Nurse 160 E Wright Pl, Marquette, MI 49855 2017-02-13
1629427299 Larry Chappel Social Worker 210 Chippewa Square, Suite 208, Marquette, MI 49855 2016-06-06
1366898348 Carla Pate Student in an Organized Health Care Education/Training Program 235 Hunt Hall, Marquette, MI 49855 2016-05-10
1922479732 Nicholas Wujcik Student in an Organized Health Care Education/Training Program 504 S Fifth St, Marquette, MI 49855 2015-10-20
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417905258 George Alan Krzymowski Pathology 850 W Baraga Ave, Marquette, MI 49855-4550 2006-05-04
1801963152 John David Weiss Pathology 420 W Magnetic St, Marquette, MI 49855-2711 2006-11-30
1659448801 Martin Hugh Matthews Pathology 850 W Baraga Ave, Marquette, MI 49855-4550 2006-11-30
1740357086 Chunming Liu Pathology 850 W Baraga Ave, Marquette, MI 49855-4550 2006-11-30
1598870719 Jeffrey Allen Conklin Pathology 850 W Baraga Ave, Marquette, MI 49855 2006-08-20
1285681155 Medical Laboratories of Marquette, PC Pathology 850 W Baraga Ave, Marquette, MI 49855 2006-05-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093323966 Khairya Fatouh Pathology 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 2020-07-16
1942756234 Ahmed Alrajjal Pathology 459 Calvin Avenue, Grosse Pointe Farms, MI 48236-3236 2016-08-28
1649630435 Barry Dewitt Pathology 11345 Greenview Dr, Fenton, MI 48430-2591 2016-03-07
1922467919 Wilford E. Maldonado Pathology 4722 Huron Hill Dr, Okemos, MI 48864-2052 2016-02-18
1144636895 Ramya Gadde Pathology 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 2014-07-02
1710329206 Yulei Shen Pathology 1546 Brentwood Dr, Troy, MI 48098-2713 2013-07-24
1437596046 John P Sherbeck Pathology 5305 East Huron River Drive, Ann Arbor, MI 48106 2013-05-23
1942552336 Kusum Kumar Pathology 3885 Highwood Pl, Okemos, MI 48864-3790 2012-10-09
1073864898 Karel Kithier Pathology 5022 Temple Drive, Sterling Heights, MI 48310-4067 2012-09-20
1306191085 Nathan Stepanek Shaller Pathology 1301 Catherine Street, Ann Arbor, MI 48109-5602 2012-07-18
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Competitor

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City MARQUETTE
Zip Code 49855

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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