CHRISTOPHER C RANDOLPH (NPI# 1477724987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477724987 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER C RANDOLPH |
| Practice Address |
1389 W Main St Suite 205 Waterbury CT 06708-3104 |
| Practice Telephone | 2037557080 |
| Practice Fax Number | 2033466244 |
| Mailing Telephone | 2037557080 |
| Mailing Fax Number | 2033466244 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. CHRISTOPHER CRONIN RANDOLPH (CEO) |
| Authorized Official Telephone | 2037557080 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 027063 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1389 W MAIN ST SUITE 205 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142551 | Christopher Cronin Randolph | Allergy & Immunology | 1389 W Main St, Suite 205, Waterbury, CT 06708-3104 | 2005-08-24 |
| 1932613312 | Michele M Griffith | Occupational Therapy Assistant | 1389 W Main St, Waterbury, CT 06708-3104 | 2017-11-21 |
| 1548682446 | Arabella Christian | Dentist | 1389 W Main St, #208, Waterbury, CT 06708-3104 | 2014-01-10 |
| 1447688098 | Ajin Mathew | Physician Assistant | 1389 W Main St, Suite 120, Waterbury, CT 06708-3104 | 2013-10-17 |
| 1932456068 | Headzone LLC | Clinic/Center | 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 | 2012-08-08 |
| 1376898676 | Linda Eileen Aspenwind | Counselor | 1389 W Main St, Suite 312, Waterbury, CT 06708-3104 | 2012-07-23 |
| 1427329416 | Sedat S. Shaban, M.d.,p.c. | Pediatrics | 1389 W Main St, Suite 308, Waterbury, CT 06708-3104 | 2012-01-23 |
| 1235407800 | Nancy Dagostino | Social Worker | 1389 W Main St, Suite 312, Waterbury, CT 06708-3104 | 2011-12-09 |
| 1629387097 | Erin Marie Floridia | Physician Assistant | 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 | 2010-10-01 |
| 1780839977 | A.aziz Richi, Md, LLC | Specialist | 1389 W Main St, Suite 322, Waterbury, CT 06708-3104 | 2008-12-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629483599 | Gesher LLC | Allergy & Immunology | 4 Clifton Ave, Waterbury, CT 06710-1724 | 2014-06-30 |
| 1619956018 | Vincent Frederick Tremaglio | Allergy & Immunology | 561 Highland Ave, Waterbury, CT 06708-3723 | 2006-01-13 |
| 1326048240 | Melvyn Ranish | Allergy & Immunology | 475 Chase Pkwy, Waterbury, CT 06708-3339 | 2005-07-21 |
| 1073602959 | Allergy Associates of Waterbury, P.C. | Allergy & Immunology | 475 Chase Pkwy, Waterbury, CT 06708-3339 | 2006-10-11 |
| 1932297298 | Center for Allergy Asthma & Immunology LLC | Allergy & Immunology | 1389 W Main St, Waterbury, CT 06708-3104 | 2006-10-11 |
| 1215968946 | Advanced Allergy and Asthma Family Care,llc | Allergy & Immunology | 714 Chase Pkwy, Suite 2b, Waterbury, CT 06708-3012 | 2006-07-05 |
| 1184698565 | Sonnel J Patrick | Allergy & Immunology | 475 Chase Pkwy, Waterbury, CT 06708-3339 | 2006-02-14 |
| 1306839436 | David Harry Dreyfus | Allergy & Immunology | 4 Clifton Ave, Waterbury, CT 06710-1724 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548654882 | Julie Dana Flom | Allergy & Immunology | 1 Park St # Wp2, New Haven, CT 06504-8901 | 2015-03-25 |
| 1235530155 | Neetu Godhwani | Allergy & Immunology | 107 Newtown Rd Ste 1b, Danbury, CT 06810-4151 | 2014-09-10 |
| 1942576947 | Wei An | Allergy & Immunology | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 | 2012-03-24 |
| 1285966150 | Richard Dale England | Allergy & Immunology | 22 Bittersweet Dr, East Lyme, CT 06333-1652 | 2010-02-03 |
| 1992990535 | Sara Ines Dever | Allergy & Immunology | 55 Walls Dr Ste 405, Fairfield, CT 06824-5163 | 2007-09-06 |
| 1023129228 | Richard P Snyder | Allergy & Immunology | 263 Pomfret Street, Putnam, CT 06260-1835 | 2006-08-31 |
| 1689698094 | Mary Elizabeth Eslick | Allergy & Immunology | 59 Sachem St, Norwich, CT 06360-4201 | 2006-07-27 |
| 1063446698 | Jane Veronica Petroff | Allergy & Immunology | 57 North St Ste 216, Danbury, CT 06810-5627 | 2006-07-10 |
| 1366484123 | Birur G Chandra | Allergy & Immunology | 2044 Bridgeport Ave, Milford, CT 06460-4633 | 2006-06-12 |
| 1205894607 | Florence Ida Hsu | Allergy & Immunology | 6 Devine St Ste 2b, North Haven, CT 06473-2222 | 2006-05-03 |
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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.