DR. RANDY MUDGE (NPI# 1346200573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346200573 |
| Entity Type | Individual |
| Full Name | DR. RANDY MUDGE |
| Credential | M.D. |
| Practice Address |
300 North Ave Battle Creek MI 49017-3307 |
| Practice Telephone | 2699668334 |
| Mailing Telephone | 2692458056 |
| Mailing Fax Number | 2699668593 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
4301057699 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4434125 | 05 |
| Street Address |
300 NORTH AVE |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49017-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034895 | Select Specialty Hospital - Battle Creek Inc | Long Term Care Hospital | 300 North Ave, Fl 6, Battle Creek, MI 49017-3307 | 2005-06-28 |
| 1518598465 | Olivia Anne Lawson | Speech-Language Pathologist | 300 North Ave, Battle Creek, MI 49017-3307 | 2020-01-29 |
| 1740832633 | Jonathan Baker | Physical Therapist | 300 North Ave, Battle Creek, MI 49017-3307 | 2019-07-11 |
| 1972155943 | Tanya Lynn Vanderbor | Occupational Therapist | 300 North Ave, Battle Creek, MI 49017-3307 | 2019-07-10 |
| 1366094484 | Stephen Carl Bennett | Occupational Therapist | 300 North Ave, Battle Creek, MI 49017-3307 | 2019-07-09 |
| 1134771272 | Geneann Enraca Rose | Physical Therapist | 300 North Ave, Battle Creek, MI 49017-3307 | 2019-07-09 |
| 1811559040 | Jocelyn Marie Jenkins | Physical Therapist | 300 North Ave, Battle Creek, MI 49017-3307 | 2019-07-09 |
| 1639721814 | Jessica Kaman | Speech-Language Pathologist | 300 North Ave, Battle Creek, MI 49017-3307 | 2019-07-09 |
| 1417519091 | Arthur Vasanth | Physical Therapist | 300 North Ave, Battle Creek, MI 49017-3307 | 2019-07-03 |
| 1063074847 | Joshua Hass | Physical Therapist | 300 North Ave, Battle Creek, MI 49017-3396 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883784 | Lauren Gressley | Nurse Practitioner | 363 Fremont St Ste 101, Battle Creek, MI 49017 | 2019-07-23 |
| 1619448958 | Carmel T Ryan | Speech-Language Pathologist | 654 Wagner Dr, Battle Creek, MI 49017 | 2018-12-16 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1841799749 | Carolyn R Boyle | Social Worker | 2 West Michigan Ave. Suite 300, Battle Creek, MI 49017 | 2018-02-06 |
| 1962928879 | Battle Creek Family Chiropractic PC | Chiropractor | 32 Van Buren W, Battle Creek, MI 49017 | 2017-08-22 |
| 1598292146 | Melissa Elizabeth Kellogg | Counselor | 2 West Michigan Ave., Suite 300, Battle Creek, MI 49017 | 2017-05-15 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1770822462 | Mindy Newhouse-oisten | Psychologist | 140 West Michigan Avenue, Battle Creek, MI 49017 | 2013-01-31 |
| 1033403118 | Charlotte G Andreasen | Nurse Practitioner | 70 Michigan Ave. West, Neurology of Battle Creek, Battle Creek, MI 49017 | 2011-06-06 |
| 1841504727 | Louise Ann Vollwiler | Optometrist | 12737 Cotton Lake Road, Sam's Club Store No.6429, Battle Creek, MI 49017 | 2010-08-03 |
| Find all providers in zip 49017 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548414873 | Melvin H Johnson Jr. | Radiology | 300 North Avenue, Cancer Care Center, Battle Creek, MI 49017 | 2008-11-13 |
| 1881651529 | Michigan Radiation Oncology, PC | Radiology | 300 North Ave, Battle Creek, MI 49017-3307 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1811444235 | Gwendolyn Henderson Parker | Radiology | 48165 Liberty Dr, Shelby Twp, MI 48315-4061 | 2016-09-01 |
| 1376097733 | Munson Medical Center | Radiology | 217 S Madison Avenue, Traverse City, MI 49684-2320 | 2016-08-15 |
| 1972985737 | Andrew Thompson | Radiology | 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 | 2015-06-29 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1932533692 | Compass Healthcare, Plc | Radiology | 2175 Coolidge Rd, East Lansing, MI 48823-1379 | 2013-08-29 |
| 1083903256 | Omar Hesham Gayar | Radiology | 4100 Beecher Rd Ste A, Flint, MI 48532-3661 | 2011-03-28 |
| 1881906519 | Sanath Kumar | Radiology | 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 | 2010-07-10 |
| 1376772574 | Matthew W Packard | Radiology | 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 | 2009-07-08 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
| City | BATTLE CREEK |
| Zip Code | 49017 |
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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.