RANDOLPH TERRY EVANS (NPI# 1568682276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568682276 |
| Entity Type | Individual |
| Full Name | RANDOLPH TERRY EVANS |
| Credential | D.D.S. PLLC |
| Practice Address |
22 Sierra Drive Martinsburg WV 25403-1133 |
| Practice Telephone | 3042633131 |
| Practice Fax Number | 3042634493 |
| Mailing Telephone | 3042633131 |
| Mailing Fax Number | 3042634493 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2987 | WV | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684076 | Randolph Warren Evans | Psychiatry & Neurology | 1200 Binz St, Suite 1370, Houston, TX 77004-6933 | 2005-07-28 |
| 1295733772 | Randolph R Evans | Ophthalmology | 1670 W Main St, Ste100, Lebanon, TN 37087-1344 | 2005-07-08 |
| Street Address |
22 SIERRA DRIVE |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25403-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902026479 | Randolph T. Evans, D.d.s. P.l.l.c. | Dentist | 22 Sierra Drive, Martinsburg, WV 25403-1133 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912339 | Elizabeth Hutzler | Registered Nurse | Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 | 2018-12-03 |
| 1326442146 | Jennifer Anne Markovits | Pharmacist | 1171 Horizon Way, Martinsburg, WV 25403 | 2014-10-22 |
| 1255763819 | Parkhill Counseling, LLC | Counselor | 93 Crimson Cr., Martinsburg, WV 25403 | 2013-08-06 |
| 1265556039 | Andrea Christina Petrucci Kackley | Counselor | 2914 Hedgesville Road, Apple Ridge Counseling Associates, Martinsburg, WV 25403 | 2007-03-19 |
| 1568935583 | Joy Gesford | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2019-01-03 |
| 1295203818 | Tina Cameron | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2018-11-13 |
| 1376718882 | Patricia M Hartman | Dentist | 50 Street of Dreams, Martinsburg, WV 25403 | 2008-04-25 |
| 1700217585 | Thais Gonzalez | Nurse's Aide | 416 Gantt Dr, Martinsburg, WV 25403-0281 | 2013-12-04 |
| 1407319726 | Kimberly Anne Saul | Nurse Practitioner | 3 Ceritos Trl, Martinsburg, WV 25403-0300 | 2019-04-12 |
| 1962745950 | Jason Bryce Swalm | Emergency Medicine | 3 Ceritos Trail, Martinsburg, WV 25403-0300 | 2013-03-28 |
| Find all providers in zip 25403 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508344979 | Emily Bays Muller | Dentist | 143 Crimson Cir, Martinsburg, WV 25403-6609 | 2018-07-29 |
| 1134509870 | Gabrielle Helms | Dentist | 58 Warm Springs Ave., Martinsburg, WV 25404 | 2015-06-08 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1093104259 | Murray Stephen Smith | Dentist | 255 Sonoma Ln, Martinsburg, PA 16662-8156 | 2015-01-12 |
| 1760811061 | James Snyder | Dentist | 739 Winchester Ave, Martinsburg, WV 25401-2103 | 2013-11-06 |
| 1295062719 | Shenandoah Valley Medical Systems, Inc. | Dentist | 614 Warm Springs Avenue, Martinsburg, WV 25404 | 2009-11-04 |
| 1235333436 | Robert Scott Leonard | Dentist | 103 South Tennessee Ave, Martinsburg, WV 25401 | 2007-06-12 |
| 1538295381 | Kimberly Paige Smith | Dentist | 58 Warm Springs Ave, Martinsburg, WV 25404-3800 | 2007-02-26 |
| 1649348665 | James Gregg Gibson | Dentist | 2001 Professional Ct, Martinsburg, WV 25401-8808 | 2006-11-30 |
| 1144397415 | John Lee Horton Jr. | Dentist | 96 Old Mill Rd, Martinsburg, WV 25401-9284 | 2006-11-29 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25403 |
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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.