MALCOM RANDALL VAMC (NPI# 1558744656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558744656 |
| Entity Type | Organization |
| Organization Name | MALCOM RANDALL VAMC |
| Practice Address |
1601 Sw Archer Rd Gainesville FL 32608-1135 |
| Practice Telephone | 3523794127 |
| Mailing Telephone | 3523794127 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | TAMARA CAREEN CHAIREZ (PT RESIDENT) |
| Authorized Official Telephone | 6822342056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1259466 | TX | Ambulatory Health Care Facilities |
| Street Address |
1601 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326042177 | Laura Carter Smoot | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2005-06-09 |
| 1518567411 | Tommy Leon Coffey Jr. | Physical Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-10-29 |
| 1801401666 | Megan L Turnage | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-09 |
| 1437763596 | Dorothea Lynn Parker | Registered Nurse | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-04 |
| 1598379950 | Sara Rose Belmore | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-03 |
| 1962016592 | Dierdre Cooper | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-01 |
| 1659984979 | Alejandro J. Gutierrez | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-08-26 |
| 1285244129 | Jenna Bradley | Speech-Language Pathologist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-08-05 |
| 1356950091 | Briana Ballister | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-07-29 |
| 1124637079 | Carolina Liriano | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968174 | Thompson Physical Therapy, Pllc | Clinic/Center | 4620 Nw 39th Ave Ste B, Gainesville, FL 32606-5952 | 2017-08-15 |
| 1679957344 | Mary T. Thigpen | Clinic/Center | 301 Main Street Sw, Brenau University, Department of Physical Therapy, Gainesville, GA 30501 | 2015-07-13 |
| 1669517488 | Bongsam Choi | Clinic/Center | 11504 Nw 15th Ln, Gainesville, FL 32606-1400 | 2007-02-20 |
| 1508489584 | Telerehab Physical Therapy, LLC | Clinic/Center | 14265 Ladderbacked Dr, Gainesville, VA 20155-5922 | 2020-05-25 |
| 1609436997 | Phoenix Physical Therapy, LLC | Clinic/Center | 507 Nw 60th St Ste A, Gainesville, FL 32607-6027 | 2019-06-18 |
| 1932647492 | American Wellness & Physio, LLC | Clinic/Center | 14366 Broadwinged Dr, Gainesville, VA 20155-5929 | 2017-02-05 |
| 1205230174 | Caretenders Visiting Services of Gainesville, LLC | Clinic/Center | 8109 Nw 27th Blvd, Caretenders Health and Rehab, Gainesville, FL 32606-8636 | 2014-10-21 |
| 1386826667 | Holistic Therapeutics of Gainesville LLC | Clinic/Center | 5200 W Newberry Rd, Gainesville, FL 32607-6104 | 2007-11-29 |
| 1184793978 | Physiotherapy Associates Inc | Clinic/Center | 1488 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3803 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
| 1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
| 1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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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.