RANDALL J SMITH (NPI# 1154417418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154417418 |
| Entity Type | Individual |
| Full Name | RANDALL J SMITH |
| Credential | MD |
| Practice Address |
1200 S Columbia Rd Grand Forks ND 58201-4036 |
| Mailing Address |
Po Box 6002 Grand Forks ND 58206-6002 |
| Practice Telephone | 7017805000 |
| Mailing Telephone | 7017805000 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
9593 | ND | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
| 1841736477 | Randall Smith | Counselor | 7000 Romaine, 207-208, La, CA 90038 | 2017-01-06 |
| 1184177826 | Randall Smith | Counselor | 2303 Lamy Ln, Monroe, LA 71201 | 2016-07-29 |
| 1972845667 | Randall E. Smith | Marriage & Family Therapist | 9103 Trentham Ln, Louisville, KY 40242-3383 | 2013-03-21 |
| 1104179985 | Randall Bruce Smith | Nurse Practitioner | 2800 Opryland Dr, Nashville, TN 37214-1200 | 2012-10-18 |
| 1891085346 | Randall Ann Smith | Counselor | 160 S 600 E, #300, Salt Lake City, UT 84102-1962 | 2011-04-17 |
| 1093945289 | Randall James Smith | Pharmacist | 64 Congress St, Ink Plaza &the Other Pharmacy, Rumford, ME 04276-2003 | 2009-07-22 |
| 1316192388 | Randall Lamar Smith | Dentist | 4089 Val Tech Rd, Valdosta, GA 31602-0929 | 2008-11-18 |
| 1659412724 | Randall G. Smith | Dentist | 3365 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-02-09 |
| 1730246844 | Randall Warren Smith | Chiropractor | 442 Sunnyside Ave., Wheaton, IL 60187-5006 | 2007-01-02 |
| Street Address |
1200 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740252220 | Michael Stanley Schlegel | Emergency Medicine | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-02-07 |
| 1326669805 | Midwest Gastroenterology PC | Internal Medicine | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-05-06 |
| 1225660756 | Tyler Sand | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-02-12 |
| 1174155774 | Carissa Ashlee Grabanski | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-02-11 |
| 1215569652 | Casey Laine Pesch | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2020-02-04 |
| 1023648557 | Lindsey K Holter | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2020-01-23 |
| 1740822899 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2019-10-10 |
| 1790347268 | Courtney Naastad | Nurse Practitioner | 1200 S Columbia Rd, Grand Forks, ND 58201 | 2019-07-03 |
| 1679035182 | Dillon Meyer | Pharmacist | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2019-04-03 |
| 1114485315 | Altru 2018 LLC | Ambulance | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063508323 | Gerald S Smyser | Radiology | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336481415 | Barry Joseph Amos | Radiology | 1 Burdick Expy W, Minot, ND 58701-4406 | 2013-03-26 |
| 1003044975 | Adam John Defoe | Radiology | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2009-06-30 |
| 1992949325 | Richard Monroe Penney | Radiology | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2009-04-29 |
| 1629236690 | Sridhar Naidu | Radiology | #1 Burdick Expy W, Minot, ND 58701-4406 | 2008-05-27 |
| 1669490264 | Eric R Promersberger | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.