RANDY L. HANZLICK (NPI# 1578511655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578511655 |
| Entity Type | Individual |
| Full Name | RANDY L. HANZLICK |
| Credential | M.D. |
| Practice Address |
430 Pryor St Sw Fulton County Medical Examiners Office Atlanta GA 30312-2716 |
| Practice Telephone | 4047304400 |
| Practice Fax Number | 4047304405 |
| Mailing Telephone | 4047304400 |
| Mailing Fax Number | 4047304405 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
020317 | GA | Allopathic & Osteopathic Physicians |
| X | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
020317 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAL LICENSE NUMBER | 20317 | 01 |
| Street Address |
430 PRYOR ST SW FULTON COUNTY MEDICAL EXAMINERS OFFICE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897824 | Jan Marie Gorniak | Pathology | 430 Pryor St Sw, Atlanta, GA 30312-2716 | 2019-08-20 |
| 1083945455 | Melissa Ann Pasquale-styles | Pathology | 430 Pryor St Sw, Atlanta, GA 30312-2716 | 2010-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700955184 | Kelly L. Rose | Pathology | 1648 Pierce Dr, Suite 327, Atlanta, GA 30322-0001 | 2006-11-07 |
| 1639129059 | Geoffrey P. Smith | Pathology | 430 Pryor St., Fulton County Medical Examiners Office, Atlanta, GA 30322-0001 | 2006-05-10 |
| 1447200852 | Michael M. Heninger | Pathology | 530 Pryor St Sw, Fulton County Medical Examiners Office, Atlanta, GA 30312-2718 | 2006-05-10 |
| 1730139197 | Michele T. Stauffenberg | Pathology | Fulton County Medical Examiners Office, 430 Pryor St., Atlanta, GA 30312 | 2006-05-10 |
| 1437107455 | Virginia Jordan Greenbaum | Pathology | 1001 Johnson Ferry Rd Mob Suite 500, Atlanta, GA 30342 | 2006-05-04 |
| 1346897824 | Jan Marie Gorniak | Pathology | 430 Pryor St Sw, Atlanta, GA 30312-2716 | 2019-08-20 |
| 1083945455 | Melissa Ann Pasquale-styles | Pathology | 430 Pryor St Sw, Atlanta, GA 30312-2716 | 2010-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880375 | Christopher Gulledge | Pathology | 150 N Marietta Pkwy Ne, Marietta, GA 30060-1454 | 2017-09-26 |
| 1336665322 | Edmund Roche Donoghue Jr. | Pathology | 925 Mohawk St, Savannah, GA 31419-1797 | 2017-08-21 |
| 1821416660 | Gerald Thomas Gowitt | Pathology | 2284 Weeping Oak Dr, Braselton, GA 30517-6047 | 2014-03-30 |
| 1730507559 | Keith Lehman | Pathology | 235 Rock Hill Dr, Fayetteville, GA 30215-4955 | 2014-03-29 |
| 1124221213 | Joni Byrd Skipper | Pathology | 111 Isaac G Laroche Dr, Pooler, GA 31322-2171 | 2007-06-07 |
| 1265457501 | Stacey Nicole Desamours | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2006-07-13 |
| 1659335669 | Carol A Terry | Pathology | 363 Swanson Dr, Suite A, Lawrenceville, GA 30043-8533 | 2006-04-14 |
| 1669861829 | James Claude Upshaw Downs | Pathology | 11511 Abercorn St, #182, Savannah, GA 31419-1901 | 2015-01-12 |
| 1316367006 | Jacqueline Marina Martin | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2014-04-21 |
| 1811141831 | Jonathan Eisenstat | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2008-11-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RANDY L. HANZLICK.
| 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.