ROSETTA RANDOLPH


Address: 15 Wytchwood Ct Apt T1, Baltimore, MD 21209-4832
Phone: 4106227945

ROSETTA RANDOLPH (NPI# 1447866074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447866074
Entity Type Individual
Full Name ROSETTA RANDOLPH
Practice Address 15 Wytchwood Ct Apt T1
Baltimore
MD 21209-4832
Practice Telephone 4106227945
Mailing Telephone 4106227945
Enumeration Date 2020-09-18
Last Update Date 2020-09-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist 82332 MD Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 15 WYTCHWOOD CT APT T1
City BALTIMORE
State MD
Zip Code 21209-4832

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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619597408 Tationia Bowen Prosthetist 3016 Westfield Ave, Baltimore, MD 21214-1433 2020-04-21
1902989643 Terry Michael Elan Prosthetist 301 Reisterstown Road, Baltimore, MD 21208-5313 2006-10-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437783214 Salena Rosa Prosthetist 4526 Beech Rd, Temple Hills, MD 20748-6704 2020-03-02
1619517851 Kierra Royster Prosthetist 6957 Aquamarine Ct, Capitol Heights, MD 20743-1879 2020-01-15
1548823222 Roger Hamilton Prosthetist 10903 Indian Head Hwy Ste 312, Fort Washington, MD 20744-4005 2019-04-17
1154898732 Niokie Laws Prosthetist 216 Crain Hwy N Ste 202a, Glen Burnie, MD 21061-3085 2018-11-01
1942791421 Uniquely Urs Hair Restoration Center Prosthetist 1144 Smallwood Dr W # E1, Waldorf, MD 20603-4759 2018-05-21
1528569241 Delphine Gathoni Njuguna Prosthetist 4509 Blackbirds Folly Ln, Bowie, MD 20720-5803 2018-02-27
1841706173 Afa Orthotics and Prosthetics LLC Prosthetist 2086 Generals Hwy Ste 305, Annapolis, MD 21401-6759 2017-12-22
1548701402 Todd John Sleeman Prosthetist 10515 Calumet Dr, Silver Spring, MD 20901-4607 2017-03-13
1427406347 Gloria Bailey Prosthetist 5612 Landover Rd, Hyattsville, MD 20784-1229 2016-06-01
1962742007 John Beeler Prosthetist 13623 Alliston Dr, Baldwin, MD 21013 2013-02-27
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Competitor

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City BALTIMORE
Zip Code 21209

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Dataset Information

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.

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