DR. RANDALL MCCORMICK (NPI# 1588660708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588660708 |
| Entity Type | Individual |
| Full Name | DR. RANDALL MCCORMICK |
| Credential | MD |
| Practice Address |
2409 Cherry St Suite 207 Toledo OH 43608-2625 |
| Practice Telephone | 4192514316 |
| Practice Fax Number | 4192513572 |
| Mailing Telephone | 4192514316 |
| Mailing Fax Number | 4192513572 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35044594 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO LICENSE # | 35044594 | 01 |
| OH | TAXONOMY CODE | 207R00000X | 01 |
| OH | 0426024 | 05 |
| Street Address |
2409 CHERRY ST SUITE 207 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033504683 | Wanda Jean Newbern | Nurse Practitioner | 2409 Cherry St, 100, Toledo, OH 43608-2625 | 2015-03-31 |
| 1851731335 | Cardiovascular Physicians Management, LLC | Home Health | 2409 Cherry St, Suite 100, Toledo, OH 43608-2625 | 2013-06-28 |
| 1447499462 | Mohammed S Alo | Internal Medicine | 2409 Cherry St, #100, Toledo, OH 43608-2625 | 2009-02-14 |
| 1740430776 | Toledo Cardiology Consultants Inc | Clinic/Center | 2409 Cherry St, Suite 100, Toledo, OH 43608-2625 | 2008-09-26 |
| 1285899633 | Mohammed Taleb | Internal Medicine | 2409 Cherry St, Suite 100, Toledo, OH 43608-2625 | 2008-07-25 |
| 1184888208 | John Joseph Leskovan | Surgery | 2409 Cherry St, Suite 303, Toledo, OH 43608-2625 | 2008-07-17 |
| 1730355215 | Mohammed Y. Ahmed, M.d., Inc | Surgery | 2409 Cherry St, Mob303, Toledo, OH 43608-2625 | 2008-05-05 |
| 1598945834 | Diane Scaife | Nurse Practitioner | 2409 Cherry St, Suite303, Toledo, OH 43608-2625 | 2007-11-04 |
| 1699967943 | Mobile Cardiac Imaging LLC | Clinic/Center | 2409 Cherry St, Suite 100, Toledo, OH 43608-2625 | 2007-08-10 |
| 1275750481 | Midwest Modern Imaging, LLC | Clinic/Center | 2409 Cherry St, Suite 100, Toledo, OH 43608-2625 | 2007-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250975 | Strong Healthcare Solutions LLC | Internal Medicine | 4105 Emmajean Rd, Toledo, OH 43607-1073 | 2020-09-18 |
| 1982111084 | Synergy Primary Care and Wellness LLC | Internal Medicine | 3230 Central Park W Ste 112, Toledo, OH 43617 | 2018-01-10 |
| 1073048096 | Akshita Singh | Internal Medicine | 2213 Franlklin Ave, 2nd Floor, Toledo, OH 43620 | 2017-04-27 |
| 1255726766 | Kathryn B Rodeman | Internal Medicine | 2100 W Central Ave Ste 100, Toledo, OH 43606-3817 | 2015-04-01 |
| 1083020374 | Laila Hakam | Internal Medicine | 2213 Cherry St Unit 1, Toledo, OH 43608-2603 | 2014-07-08 |
| 1508277237 | Northwest Ohio Urgent Care LLC | Internal Medicine | 1421 S Reynolds Rd, Toledo, OH 43615-7413 | 2014-05-15 |
| 1275959231 | Jay Rajesh Gaglani | Internal Medicine | 2213 Franklin Avenue, Toledo, OH 43620 | 2014-03-13 |
| 1710275631 | Waseem Ali Khan | Internal Medicine | 2213 Cherry St Fl 2b, Toledo, OH 43608-2603 | 2011-07-12 |
| 1689972168 | Sinan Alo | Internal Medicine | 2409 Cherry St Ste 100, Toledo, OH 43608-2670 | 2011-03-07 |
| 1215239553 | Yacin M. Zawam | Internal Medicine | 2111 Orchard Lakes Pl E, Apt 11, Toledo, OH 43615-3287 | 2010-11-18 |
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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.