DR. DAVID M. RANDOLPH (NPI# 1447216866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447216866 |
| Entity Type | Individual |
| Full Name | DR. DAVID M. RANDOLPH |
| Credential | M.D. |
| Practice Address |
5900 Lake Wright Dr Ste B Norfolk VA 23502-1871 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7572135770 |
| Practice Fax Number | 7576270334 |
| Mailing Telephone | 7572135770 |
| Mailing Fax Number | 7576270334 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2009-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0101 036962 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | USA MANAGED CARE | PAR | 01 |
| VA | FIRST HEALTH COMMERICAL | PAR | 01 |
| VA | AETNA | PAR | 01 |
| VA | ANTHEM | 359100 | 01 |
| NC | 5910259 | 05 | |
| VA | MULTIPLAN | PAR | 01 |
| NC | BC/BS | 10259 | 01 |
| VA | UHC/MAMSI | 6181967 | 01 |
| VA | CORVEL/CORCARE | PAR | 01 |
| VA | VA HEALTH NETWORK | PAR | 01 |
| VA | SENTARA/OPTIMA | 10035953 | 01 |
| VA | 1447216866 | 05 | |
| VA | CIGNA | 9841062 | 01 |
| VA | TRICARE/CHAMPUS | PAR | 01 |
| VA | VIRGINIA PREMIER HEALTH | PAR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036443 | David Robert Randolph | Dentist | 10047 Park Meadows Dr. Unit B, Lone Tree, CO 80124 | 2005-10-12 |
| 1629599931 | David Thomas Randolph | Pediatrics | 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 | 2017-06-28 |
| 1679866867 | David M Randolph II | Student in an Organized Health Care Education/Training Program | 417 N 11th St, Im Resident Acc Clinic, Richmond, VA 23298-5002 | 2011-05-20 |
| 1154571370 | David C. Randolph | General Practice | 5724 Signal Hill Ct, Milford, OH 45150-1483 | 2008-09-24 |
| 1881715795 | David F Randolph | Dentist | 1779 Sw Barnett Way Ste 101, Lake City, FL 32025-6957 | 2007-04-02 |
| 1114074051 | David Alan Randolph | Pediatrics | 619 South 19th Street, Nhb 525, Birmingham, AL 35294 | 2007-01-04 |
| 1477617439 | David L Randolph | Pharmacist | 2101 Box Butte Ave, Alliance, NE 69301-4445 | 2006-12-21 |
| 1497709026 | David E Randolph | Hospitalist | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2006-05-19 |
| Street Address |
5900 LAKE WRIGHT DR STE B |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225282569 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| 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 |
|---|---|---|---|---|
| 1174693063 | Andrew Stuart Camarata | Radiology | 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 | 2006-11-08 |
| 1134126220 | Bradley Robert Prestidge | Radiology | 155 Kingsley Ln, Suite 100, Norfolk, VA 23505-4629 | 2005-07-05 |
| 1073955001 | Bon Secours Depaul Medical Center Inc | Radiology | 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 | 2013-07-18 |
| 1750510236 | Edwin Fulghum Crandley | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-07-06 |
| 1023242583 | Hadi Zahra | Radiology | 110 N 29th St, Suite 101, Norfolk, NE 68701-4424 | 2009-05-12 |
| 1639311632 | Erik Karl Lappinen | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-04-06 |
| 1881848091 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2008-11-14 |
| 1225282569 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2008-11-13 |
| 1336354745 | Lara P Bonner Millar | Radiology | 600 Gresham Dr, Radiation Oncology, Norfolk, VA 23507-1904 | 2007-05-11 |
| 1114011939 | Mohammed Khaled Zahra | Radiology | 110 N 29th St, Suite 101, Norfolk, NE 68701-4424 | 2006-10-03 |
| Find all providers in NORFOLK | ||||
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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.