ALTHEAL RANDOLPH (NPI# 1376093864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376093864 |
| Entity Type | Individual |
| Full Name | ALTHEAL RANDOLPH |
| Credential | PA |
| Practice Address |
340 County Road 126 Jemison AL 35085-3106 |
| Mailing Address |
340 County Road Jemison AL 35085-3106 |
| Practice Telephone | 2059088304 |
| Practice Fax Number | 2056882545 |
| Mailing Telephone | 2059088304 |
| Mailing Fax Number | 2056882545 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA190 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
340 COUNTY ROAD 126 |
| City | JEMISON |
| State | AL |
| Zip Code | 35085-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679946487 | Schaeffer Eye Center, Inc. | Optometrist | 24810 U.s Hwy. 31, Jemison, AL 35085 | 2015-11-03 |
| 1225168370 | Trc Pharmacy Inc | Pharmacy | 24724 Us Highway 31, Jemison, AL 35085 | 2007-03-07 |
| 1992809149 | Narvel Atwood Black Jr. | Dentist | 25210 Us Hwy 31 North, Jemison, AL 35085 | 2006-09-09 |
| 1083699334 | Jayprakash D Patel | Internal Medicine | 24548 Us Hwy 31, Jemison, AL 35085 | 2005-12-09 |
| 1164569570 | Jemison Internal Medicine PC | Internal Medicine | 24548 Us Hwy 31, Jemison, AL 35085 | 2007-02-01 |
| 1427679711 | Melissa Ashley | Registered Nurse | 129 Cobb Dr, Jemison, AL 35085-4197 | 2020-04-28 |
| 1588760540 | Airx Inc. | Pharmacy | 1520 County Road 8, Jemison, AL 35085-4635 | 2006-09-16 |
| 1669943544 | Pamela Jean Callaghan | Social Worker | 13954 County Road 51, Jemison, AL 35085-5074 | 2018-12-17 |
| 1750832879 | Cheryl Glasscock | Early Intervention Provider Agency | 1589 County Road 152, Jemison, AL 35085-5156 | 2016-10-24 |
| 1164838041 | Joni Davenport | Specialist/Technologist | 29 2nd Ave, Jemison, AL 35085-6757 | 2014-07-11 |
| Find all providers in zip 35085 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639154 | Grace Blane Mcmahan | Physician Assistant | 972 Montclair Rd Ste 100, Birmingham, AL 35213-1203 | 2019-10-08 |
| 1013558147 | Advanced Provider Solutions, LLC | Physician Assistant | 245 Cobb Rd, Dothan, AL 36301-7504 | 2019-09-30 |
| 1780247692 | Rachel Anne Stallman | Physician Assistant | 601 S 19th Street, Birmingham, AL 35294-0001 | 2019-04-16 |
| 1679031488 | Katie J Winfrey | Physician Assistant | 1419 Hamric Dr E Ste 101, Oxford, AL 36203-2174 | 2019-03-11 |
| 1235696105 | Audrey Rachel Williamson | Physician Assistant | 2862 Briarfield Ln, Mobile, AL 36693-4068 | 2019-02-26 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1952806499 | Christy L Franklin | Physician Assistant | 4305 Dolly Ridge Ln, Vestavia, AL 35243-1834 | 2018-03-27 |
| 1538662994 | Morgan Goss | Physician Assistant | 700 Montgomery Hwy Ste 194, Vestavia Hills, AL 35216-1879 | 2018-03-13 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1942748272 | Miranda Hornsby | Physician Assistant | 521 Montgomery Hwy Ste 117, Vestavia, AL 35216-1876 | 2017-02-07 |
| Find all providers with the same taxonomy | ||||
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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.