RANDYL ERIK GESSEL (NPI# 1124285184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124285184 |
| Entity Type | Individual |
| Full Name | RANDYL ERIK GESSEL |
| Credential | PA-C |
| Practice Address |
1100 W Patrick St Ste H Frederick MD 21703-3974 |
| Practice Telephone | 3016626478 |
| Practice Fax Number | 3016626427 |
| Mailing Telephone | 3016626478 |
| Mailing Fax Number | 3016626427 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C04452 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 01342 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | LICENSE | 01342 | 01 |
| MD | LICENSE | C04452 | 01 |
| Street Address |
1100 W PATRICK ST STE H |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124423637 | Eucentrics Urgent Care and Wellness Center | Acupuncturist | 1100 W Patrick St Ste H, Frederick, MD 21703-3974 | 2014-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619453487 | Brianna Adkinson | Physician Assistant | 3430 Worthington Blvd Ste 103, Frederick, MD 21704-7018 | 2018-07-16 |
| 1508379199 | John Patrick Ohsann | Physician Assistant | 196 Thomas Johnson Dr Ste 120, Frederick, MD 21702-4521 | 2017-11-06 |
| 1528509007 | Michael Probert | Physician Assistant | 5317 Saint Mawes Ct, Frederick, MD 21703-2810 | 2017-03-16 |
| 1427453612 | Jinhui Yuan | Physician Assistant | 65 Thomas Johnson Dr Ste C, Frederick, MD 21702-4371 | 2014-10-30 |
| 1336587419 | June Margarete Cuddy | Physician Assistant | 85 Thomas Johnson Ct Ste B, Frederick, MD 21702-4331 | 2013-06-11 |
| 1093096794 | Gelnard Talj | Physician Assistant | 2153 Collingwood Ln, Frederick, MD 21702-9403 | 2011-09-08 |
| 1467638502 | Douglas H. Brown | Physician Assistant | 3 Hillcrest Dr Ste A202, Frederick, MD 21703-6270 | 2008-01-19 |
| 1619174885 | Diane Margarete Darr | Physician Assistant | Corp Ohs Frederick 490-l Prospect Blvd, 490-l, Frederick, MD 21701 | 2007-06-29 |
| 1194766394 | William Francis Kelly | Physician Assistant | 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 | 2006-06-09 |
| 1861440448 | Jennifer I Whitman | Physician Assistant | 77 Thomas Johnson Dr Ste E, Frederick, MD 21702-4893 | 2006-05-05 |
| Find all providers in FREDERICK | ||||
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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.