DR. SALLEE TAYLOR RANDOLPH (NPI# 1447614136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447614136 |
| Entity Type | Individual |
| Full Name | DR. SALLEE TAYLOR RANDOLPH |
| Other Name | SALLEE RAYE TAYLOR |
| Credential | DPM |
| Practice Address |
1303 Sunset Dr Ste 6 Johnson City TN 37604 |
| Mailing Address |
1303 Sunset Dr Ste 6 Johnson City TN 37604-7905 |
| Practice Telephone | 4232321771 |
| Mailing Telephone | 4232139961 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
848 | TN | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4646 N Marine Dr, Chicago, IL 606405759 | 7738788700 |
| Street Address |
1303 SUNSET DR STE 6 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525961 | Podiatric Clinics of Northeast Tn | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604-7905 | 2019-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437114865 | George William Stano Jr. | Podiatrist | James H. Quillen Va Med. Center, Sidney Street, Johnson City, TN 37684 | 2006-04-19 |
| 1619525961 | Podiatric Clinics of Northeast Tn | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604-7905 | 2019-08-29 |
| 1275708778 | Ryan Jared Chatelain | Podiatrist | 325 N State of Franklin Rd Fl 3, Johnson City, TN 37604 | 2008-04-25 |
| 1811986490 | David Theodore Hamilos | Podiatrist | 508 Princeton Rd, Ste 202, Johnson City, TN 37601-2063 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1366099269 | Khumalo Foot and Ankle Clinic, Inc | Podiatrist | 1109 E Reelfoot Ave Ste D, Union City, TN 38261-5866 | 2019-08-25 |
| 1154889533 | Cutting Edge Foot and Ankle | Podiatrist | 3443 Dickerson Pike Ste 310, Nashville, TN 37207-2523 | 2019-03-05 |
| 1902376346 | Family Foot and Ankle Pllc | Podiatrist | 120 Walnut Commons Ln Ste A120, Cookeville, TN 38501-6035 | 2018-11-28 |
| 1649757238 | Healthstar Physicians, P.C. | Podiatrist | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-07-26 |
| 1851817290 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 515 Highland Ter Ste B, Murfreesboro, TN 37130-2424 | 2017-08-17 |
| 1386165694 | Lucy Jayne Barrow | Podiatrist | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2017-06-28 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1982050217 | Francois V. Dijour | Podiatrist | 111 Highway 70 E Ste G, Dickson, TN 37055-2080 | 2016-05-05 |
| 1790160364 | Mitchell Paul Rider | Podiatrist | Bldg 20 Memorial Ave, Mountain Home, TN 37684-4000 | 2015-07-24 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on DR. SALLEE TAYLOR 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.