BONNIE L. RANDOLPH (NPI# 1427153873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427153873 |
| Entity Type | Individual |
| Full Name | BONNIE L. RANDOLPH |
| Other Name | BONNIE L BINNING |
| Credential | MD |
| Practice Address |
625 Albany Ave Torrington WY 82240-1530 |
| Mailing Address |
625 Albany Avenue Torrington WY 82240 |
| Practice Telephone | 3075322107 |
| Mailing Telephone | 3075322107 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2011-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5437A | WY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756258 | Bonnie F Randolph | Emergency Medicine | 6263 Poplar Ave, Suite 1052, Memphis, TN 38119-4701 | 2005-08-02 |
| Street Address |
625 ALBANY AVE |
| City | TORRINGTON |
| State | WY |
| Zip Code | 82240-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811925423 | Bhs Physician Services - Torrington | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2006-06-30 |
| 1528542719 | Monica Nicole Teichert | Nurse Practitioner | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-09-24 |
| 1174005367 | Annmarie Valentine Wilson | Nurse Practitioner | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-09-04 |
| 1336633296 | Jill Truesdale | Physician Assistant | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-06-14 |
| 1164950036 | Community Hospital | General Acute Care Hospital | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-23 |
| 1710413141 | Gerald Albert Walker Jr. | Clinical Nurse Specialist | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-04 |
| 1174059786 | Community Hospital | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-03 |
| 1871034637 | Banner Medical Clinic Torrington LLC | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-03-13 |
| 1558776476 | Matthew Mattis | Physician Assistant | 625 Albany Ave, Torrington, WY 82240-1530 | 2014-06-30 |
| 1063778728 | Banner Health Physicians West LLC | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083144968 | Alexy Cooley | Case Manager/Care Coordinator | 117 West 22nd, Torrington, WY 82240 | 2017-06-14 |
| 1063962009 | Kelsey Grant | Counselor | 1419 Main Street, Torrington, WY 82240 | 2016-10-13 |
| 1962818443 | Britton Michael Marsh | Dentist | 2017 Campbell Drive, Torrington, WY 82240 | 2014-07-07 |
| 1538588645 | Pratt - Lovercheck Practice | Social Worker | 231 Camino Del Rey, Torrington, WY 82240 | 2014-04-16 |
| 1912257312 | Sharon L Bates | Case Manager/Care Coordinator | 2802 West C St, Torrington, WY 82240 | 2012-09-12 |
| 1629342530 | Nathan A Moeller | Dentist | 211 E 20th Ave, Torrington, WY 82240 | 2012-02-24 |
| 1932471919 | Jody Ann Harper | Counselor | 136 West 21st Ave., Torrington, WY 82240 | 2012-02-06 |
| 1669701520 | Healing Concepts of Wyoming Inc | Chiropractor | 1925 East A Street, Torrington, WY 82240 | 2009-12-23 |
| 1720220072 | Bruce O Ross | Counselor | St. Joseph's Children's Home, 1419 Main St, Torrington, WY 82240 | 2009-04-01 |
| 1225247646 | Charles Clinton Kilgore | Chiropractor | 127 West 21st Avenue, Torrington, WY 82240 | 2007-05-22 |
| Find all providers in zip 82240 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497790711 | Frank A Crociata | Family Medicine | 434 Prospect St, Torrington, CT 06790-4937 | 2006-06-19 |
| 1609819671 | D. James Mckay | Family Medicine | 990 Migeon Ave, Torrington, CT 06790-4525 | 2006-06-14 |
| 1124061437 | Clifford B Rosenberg | Family Medicine | 333 Kennedy Drive, Foothills Family Medicine, Torrington, CT 06790 | 2006-06-14 |
| 1295296424 | Ctpc01 PC | Family Medicine | 1171 E Main St, Torrington, CT 06790-3963 | 2019-03-29 |
| 1205345873 | Peak Wellness Center, Inc. | Family Medicine | 501 Albany Ave, Torrington, WY 82240-1503 | 2017-09-26 |
| 1891058558 | Philip Michael Eskew | Family Medicine | 7076 Road 55f, Torrington, WY 82240-7771 | 2012-06-18 |
| 1427291491 | Norma S Cantu | Family Medicine | 625 Albany Ave, Banner Medical Clinic, Torrington, WY 82240-1530 | 2009-04-07 |
| 1699938456 | Issifi Karimou | Family Medicine | 625 Albany Ave, Torrington, WY 82240-1530 | 2008-07-02 |
| 1396904348 | D James Mckay PC | Family Medicine | 990 Migeon Ave, Torrington, CT 06790-4555 | 2008-06-05 |
| 1134284664 | Stephanie K Fowler | Family Medicine | 157 Litchfield St, Torrington, CT 06790-6427 | 2006-12-26 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 82240 |
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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.