DR. ALESIA L MADDEN-RANDOLPH (NPI# 1396716254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396716254 |
| Entity Type | Individual |
| Full Name | DR. ALESIA L MADDEN-RANDOLPH |
| Other Name | ALESIA L MADDEN-YOUNG |
| Credential | DPM |
| Practice Address |
4475 Regency Pl Suite 204 White Plains MD 20695-3072 |
| Practice Telephone | 3016451406 |
| Practice Fax Number | 3016450997 |
| Mailing Telephone | 3016451406 |
| Mailing Fax Number | 3016450997 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 518 | DC | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 1138 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 757928400 | 05 |
| Street Address |
4475 REGENCY PL SUITE 204 |
| City | WHITE PLAINS |
| State | MD |
| Zip Code | 20695-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194248450 | Angela Dion | Counselor | 4475 Regency Pl, White Plains, MD 20695-3072 | 2017-07-19 |
| 1659815348 | Danielle Baken | Registered Nurse | 4475 Regency Pl, White Plains, MD 20695-3072 | 2016-12-14 |
| 1699122218 | Keisha Haynes | Counselor | 4475 Regency Pl, Suite 205, White Plains, MD 20695-3072 | 2016-05-24 |
| 1871998179 | Andrea Donohoe | Physician Assistant | 4475 Regency Pl, Suite 303, White Plains, MD 20602-3269 | 2014-10-29 |
| 1235557570 | Bertha White | Social Worker | 4475 Regency Pl, 205, White Plains, MD 20695-3072 | 2014-04-03 |
| 1063837664 | Autumn Colbert | Social Worker | 4475 Regency Pl, Suite 205, White Plains, MD 20695-3072 | 2014-02-19 |
| 1578903761 | Mikeala Tiara Smith | Social Worker | 4475 Regency Pl, Suite 205, White Plains, MD 20695-3072 | 2013-07-02 |
| 1174963474 | Qci Behavioral Health | Community/Behavioral Health | 4475 Regency Pl, Suite 205, White Plains, MD 20695-3072 | 2013-07-01 |
| 1720425531 | Kimberly Teasley | Registered Nurse | 4475 Regency Pl, White Plains, MD 20695-3072 | 2013-06-03 |
| 1346685872 | Frances Ann Ritinski | Nutritionist | 4475 Regency Pl, Unit 102, White Plains, MD 20695-3072 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590452 | Dominique Bouldin | Driver | 11136 Saint Christopher Drive, White Plains, MD 20695 | 2018-09-01 |
| 1366928665 | Wooten Lyons LLC | Psychiatry & Neurology | 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 | 2018-07-19 |
| 1962914507 | Kids By The Bay Dental LLC | Clinic/Center | 5010 Regency Place Ste 102, White Plains, MD 20695 | 2017-11-03 |
| 1528592896 | Darlena Austin | Social Worker | 5310 Exeter Place, White Plains, MD 20695 | 2017-04-13 |
| 1609307040 | Phylicia Wooten | Counselor | 5510 Regency Place Suite 203, White Plains, MD 20695 | 2017-03-27 |
| 1760856488 | Stephanie W Allen | Physical Therapist | Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 | 2015-11-18 |
| 1457743122 | Raven Gray | Physical Therapy Assistant | 10708 Esprit Place, White Plains, MD 20695 | 2015-03-04 |
| 1043629850 | Adenike Kupolati | Pharmacist | 4220 Altamont Place, White Plains, MD 20695 | 2014-08-06 |
| 1942532064 | Divine Intervention Community Support Services | Community/Behavioral Health | 7727 Chesterfied Ct., White Plains, MD 20695 | 2010-02-01 |
| 1740517895 | Optionet Support Service | Community/Behavioral Health | 7727 Chesterfield Court, White Plains, MD 20695 | 2009-11-11 |
| Find all providers in zip 20695 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275698813 | Dr. Robert L Duffy Podiatry, PC | Podiatrist | 122 W Post Rd, White Plains, NY 10606-2937 | 2006-12-26 |
| 1689749491 | Hal Andrew Abrahams | Podiatrist | 280 Dobbs Ferry Road, Suite 100, White Plains, NY 10607 | 2006-11-21 |
| 1558332825 | Robert Lloyd Duffy | Podiatrist | 122 West Post Road, White Plains, NY 10606 | 2006-01-27 |
| 1134100399 | Eric Peters | Podiatrist | 171 E Post Rd, Ste 210-211, White Plains, NY 10601 | 2005-11-07 |
| 1902142896 | Ari David Rubinstein | Podiatrist | 122 W Post Rd, White Plains, NY 10606-2937 | 2012-12-20 |
| 1952586117 | Bryan B. Kagan, Dpm | Podiatrist | 122 W Post Rd, White Plains, NY 10606-2937 | 2008-01-07 |
| 1295898732 | Samuel S Carr | Podiatrist | 3 Barker Ave, 2 Nd Floor, White Plains, NY 10601-1509 | 2006-12-18 |
| 1457420275 | Fredric Drummer | Podiatrist | 3 Barker Ave, 4th Floor, White Plains, NY 10601-1509 | 2006-11-07 |
| 1932297629 | Michael J. Madden | Podiatrist | 311 North St, Suite 404, White Plains, NY 10605-2217 | 2006-10-10 |
| 1407829211 | Joseph Valletta | Podiatrist | 210 Westchester Ave, White Plains, NY 10604-2901 | 2006-02-10 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 20695 |
Please comment or provide details below to improve the information on DR. ALESIA L MADDEN-RANDOLPH.
| 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.