MRS. ELIZABETH VANCE RANDOLPH (NPI# 1093006009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093006009 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH VANCE RANDOLPH |
| Credential | M.D. |
| Practice Address |
3786 Central Pike Suite 130 Hermitage TN 37076-3497 |
| Practice Telephone | 6158832200 |
| Mailing Telephone | 6158832200 |
| Mailing Fax Number | 6158831104 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2014-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD0000051215 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083962229 | Elizabeth Randolph | Physician Assistant | 251 E Huron St., Chicago, IL 60611 | 2012-08-20 |
| 1194926113 | Elizabeth A Randolph | Midwife | 2416 E Tyger Bridge Rd, Greer, SC 29651-4953 | 2007-05-29 |
| 1689000713 | Elizabeth A Randolph | Physician Assistant | 5031 N Illinois St, Fairview Heights, IL 62208-3453 | 2013-09-20 |
| Street Address |
3786 CENTRAL PIKE SUITE 130 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-3497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475188 | Parvin Vafai | Pediatrics | 3786 Central Pike, Suite 130, Hermitage, TN 37076-3497 | 2005-11-21 |
| 1922052497 | Leslie Barrack | Physical Therapist | 3786 Central Pike, Ste. 120, Hermitage, TN 37076-3497 | 2006-05-20 |
| 1316926876 | Elizabeth Heather Fairbank | Pediatrics | 3786 Central Pike, # 130, Hermitage, TN 37076-3497 | 2006-01-12 |
| 1750360210 | Kimberly M Rosdeutscher | Pediatrics | 3786 Central Pike, #130, Hermitage, TN 37076-3497 | 2006-01-12 |
| 1134105356 | Christina W Steger | Pediatrics | 3786 Central Pike, Suite 130, Hermitage, TN 37076-3497 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871913988 | Peggy Ann Toole-rollins | Pediatrics | Children's Medical Group, 3786 Central Pk Ste 130, Hermitage, TN 37076-2804 | 2014-04-16 |
| 1760456065 | Childrens Medical Group | Pediatrics | 3786 Central Pike Ste 130, Hermitage, TN 37076-3498 | 2006-02-14 |
| 1861475188 | Parvin Vafai | Pediatrics | 3786 Central Pike, Suite 130, Hermitage, TN 37076-3497 | 2005-11-21 |
| 1871587543 | James Charles Anderson | Pediatrics | 3901 Central Pike Ste 251, Hermitage, TN 37076-3421 | 2005-09-08 |
| 1750388898 | Cheryl Ann Duffy | Pediatrics | 3068 Innovation Way, Hermitage, PA 16148-7906 | 2005-07-05 |
| 1225541717 | Childen's Community Care | Pediatrics | 3068 Innovation Way, Hermitage, PA 16148-7906 | 2017-11-07 |
| 1922460633 | Beatriz Collada | Pediatrics | 3901 Central Pike Ste 251, Hermitage, TN 37076-3421 | 2016-03-22 |
| 1659761005 | Mercy Jaramillo | Pediatrics | 3901 Central Pike, Suite 251, Hermitage, TN 37076-3419 | 2015-01-23 |
| 1588988075 | Abigail Leigh Jennings | Pediatrics | 3901 Central Pike Ste 251, Hermitage, TN 37076-3421 | 2010-03-26 |
| 1114144177 | Joseph R Frank | Pediatrics | 3068 Innovation Way, Hermitage, PA 16148-7906 | 2007-04-19 |
| Find all providers in HERMITAGE | ||||
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| 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.