RANDALL BRUCE CLARK II (NPI# 1265873111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265873111 |
| Entity Type | Individual |
| Full Name | RANDALL BRUCE CLARK II |
| Credential | D.O. |
| Practice Address |
1 Hospital Dr Columbia MO 65212-1000 |
| Practice Telephone | 5738827901 |
| Mailing Telephone | 5738827901 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2013021199 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960415 | Randall Lewis Clark | Pharmacist | 43 Williamson Rd Ste B, Greenville, PA 16125-1224 | 2020-04-08 |
| 1013336437 | Randall Edward Clark Jr. | Durable Medical Equipment & Medical Supplies | 918 E Southlake Blvd, Southlake, TX 76092-6344 | 2014-04-14 |
| 1598997330 | Randall Clark | Massage Therapist | 13830 58th St N Ste 404, Clearwater, FL 33760-3720 | 2009-08-12 |
| 1891790374 | Randall Clark | Urology | 4325 Sun N Lake Blvd Ste 105, Sebring, FL 33872-2171 | 2005-06-20 |
| 1063573319 | Randall Norton Clark | Family Medicine | 3299 Clear Vista Ct Ne, Suite C, Grand Rapids, MI 49525-9477 | 2006-12-12 |
| 1447200944 | Randall Clark | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-05-12 |
| Street Address |
1 HOSPITAL DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081508 | Michael S Brown | Anesthesiology | 1 Hospital Dr, Columbia, MO 65212-0001 | 2005-05-24 |
| 1639770928 | Kelsey Loethen | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-11-04 |
| 1750995718 | Hilary Anna Felice | Orthopaedic Surgery | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-09-06 |
| 1750995270 | Shannon Marie Green | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1001 | 2020-09-02 |
| 1992319628 | Mahmoud A Ali | Psychiatry & Neurology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-09-01 |
| 1538777644 | Komal Ijaz | Pathology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-15 |
| 1649898859 | Iwalewa Olowoporoku | Psychiatry & Neurology | 1 Hospital Dr, Columbia, MO 65201-5276 | 2020-07-14 |
| 1821616509 | Bryce Hoelscher | Student in an Organized Health Care Education/Training Program | 1 Hospital Dr, Columbia, MO 65201-5276 | 2020-07-09 |
| 1770100026 | Parker Trent Russell | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-02 |
| 1548887896 | Jacqueline E Santamarina | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1275028136 | Austin Fletcher | Radiology | University Hospital One Hospital Drive, Department of Radiology Dc 069.10, Columbia, MO 65212-0001 | 2018-06-24 |
| 1316467046 | Philip Silva | Radiology | 1 Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2017-06-23 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1467993386 | Iv Radiology Medical Group | Radiology | 10000 Town Center Ave, Apt 244, Columbia, MD 21044-5418 | 2017-03-10 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| 1023462439 | Robert Michael Robbins | Radiology | 1 Hospital Drive Columbia Mo 65212, Columbia, MO 65212-4973 | 2016-04-21 |
| 1669836292 | Brian Trissell | Radiology | 1 Hospital Drive Dc069.10, Columbia, MO 65212 | 2016-04-10 |
| 1295104073 | Arthur Knight Walter | Radiology | 737 River Rd, Columbia, SC 29212-8809 | 2015-09-22 |
| 1750765558 | Joel Schmidt | Radiology | 1 Hospital Drive, Dc069.10, Columbia, MO 65212 | 2015-07-13 |
| Find all providers in COLUMBIA | ||||
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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.