M. BARRY RANDALL (NPI# 1124002175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124002175 |
Entity Type | Individual |
Full Name | M. BARRY RANDALL |
Credential | M.D. |
Practice Address |
930 Madison Ave Suite 890 Memphis TN 38103-3410 |
Mailing Address |
1407 Union Ave Suite 700 Memphis TN 38104-3627 |
Practice Telephone | 9018668834 |
Practice Fax Number | 9013022834 |
Mailing Telephone | 9018668375 |
Mailing Fax Number | 9013022360 |
Enumeration Date | 2005-12-02 |
Last Update Date | 2018-10-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
029321 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 133395001 | 05 | |
TN | 1532078 | 05 | |
MS | 0121423 | 05 |
Street Address |
930 MADISON AVE SUITE 890 |
City | MEMPHIS |
State | TN |
Zip Code | 38103-3410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194186387 | Kimberly Carter | Physical Therapist | 930 Madison Ave, Room 658, Memphis, TN 38163-2243 | 2016-03-15 |
1376964494 | Anne Zachry | Occupational Therapist | 930 Madison Ave, Suite Ec013, Memphis, TN 38163-2243 | 2013-12-16 |
1881036598 | Roberta Lynn Gatlin | Physical Therapist | 930 Madison Ave, Suite Ec013, Memphis, TN 38163-2243 | 2013-07-23 |
1831531540 | Matthew Webb | Physical Therapist | 930 Madison Ave, Suite Ec013, Memphis, TN 38163-2243 | 2013-07-23 |
1851638340 | Jacque L Bradford | Physical Therapist | 930 Madison Ave, Memphis, TN 38103-3410 | 2013-01-03 |
1922304278 | Barbara Jean Jennings | Optometrist | 930 Madison Ave, Suite 731, Memphis, TN 38103-3410 | 2011-02-03 |
1548429707 | Alinda Guynes Mcgowin | Ophthalmology | 930 Madison Ave, Suite 200, Memphis, TN 38103-3410 | 2008-06-03 |
1013186873 | Andrzej T Slominski | Pathology | 930 Madison Ave, Suite 500, Memphis, TN 38103-3410 | 2008-02-26 |
1306049879 | Pamela D Ritzline | Physical Therapist | 930 Madison Ave, Suite 640, Memphis, TN 38163-2243 | 2007-06-11 |
1942411392 | Jonathan Michael Rose | Physical Therapist | 930 Madison Ave, Suite 660, Memphis, TN 38163-0001 | 2007-05-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
Find all providers in zip 38103 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538383765 | Andre C Thompson | Pathology | 80 Humphreys Center Dr Ste 200, Memphis, TN 38120-2352 | 2007-04-12 |
1245247147 | Antonio Martinez | Pathology | 1030 Jefferson Ave., Memphis, TN 38104-2193 | 2006-08-02 |
1306847918 | Cameila D'silva Johns | Pathology | Of Pathology and Laboratory Medicine, 930 Madison Avenue, Rm 518, Memphis, TN 38163-2243 | 2005-08-04 |
1891796520 | Susan Theresa Williams | Pathology | 150 Collins St, Memphis, TN 38112-3814 | 2005-08-03 |
1689679912 | David Kenji Mcgregor | Pathology | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2005-06-14 |
1285115840 | Nina Krassilnik | Pathology | 930 Madison Ave Fl 5, Memphis, TN 38103-7401 | 2018-08-22 |
1669985958 | Ian Clark | Pathology | 1265 Union Ave, Memphis, TN 38104-3415 | 2017-11-09 |
1033595731 | Memphis Pathology Group PC | Pathology | 1211 Union Ave, Suite 875, Memphis, TN 38104-6638 | 2015-08-04 |
1700285152 | Harmanjot Singh | Pathology | 930 Madison Ave Fl 5, Memphis, TN 38103-7401 | 2014-08-21 |
1184030801 | Faaria Akbar Gowani | Pathology | 1265 Union Ave, Memphis, TN 38104-3415 | 2014-07-02 |
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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.