RANDOLPH SPECIALTY GROUP PRACTICE (NPI# 1619126992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619126992 |
| Entity Type | Organization |
| Organization Name | RANDOLPH SPECIALTY GROUP PRACTICE |
| Other Organization Name | RANDOLPH HEALTH EAR, NOSE & THROAT |
| Practice Address |
124 N Park St Asheboro NC 27203-5440 |
| Mailing Address |
Po Box 5418 Asheboro NC 27204-5418 |
| Practice Telephone | 3366251007 |
| Practice Fax Number | 3366250350 |
| Mailing Telephone | 3366252333 |
| Mailing Fax Number | 3366255511 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | MR. ROBERT SCOTT CLAUSER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3366252333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
NC | Allopathic & Osteopathic Physicians | |
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5950054 | 05 |
| Other Name | Type Code |
|---|---|
| Randolph Health Ear, Nose & Throat | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629517909 | Randolph Specialty Group Practice | Physical Therapist | 310 S Middleton St, Robbins, NC 27325-8407 | 2017-02-20 |
| 1760716740 | Randolph Specialty Group Practice | Orthopaedic Surgery | 503 N Fayetteville St, Asheboro, NC 27203-4728 | 2009-09-24 |
| 1396971438 | Randolph Specialty Group Practice | Physical Therapist | 148 Pointe South Dr, Randleman, NC 27317-9520 | 2009-06-03 |
| 1134398431 | Randolph Specialty Group Practice | Physical Therapist | 701 Liberty St, Ramseur, NC 27316-9464 | 2008-02-21 |
| 1538684113 | Randolph Specialty Group Practice | Surgery | 132 W Miller St Ste C, Asheboro, NC 27203-4775 | 2017-08-04 |
| 1679019640 | Randolph Specialty Group Practice | Family Medicine | 600 W Salisbury St Ste B, Asheboro, NC 27203-5591 | 2017-01-13 |
| 1760930002 | Randolph Specialty Group Practice | Family Medicine | 629 Industrial Park Ave, Asheboro, NC 27205-7333 | 2016-09-15 |
| 1710385935 | Randolph Specialty Group Practice | Internal Medicine | 132 W Miller St, Suite C, Asheboro, NC 27203-4774 | 2014-12-22 |
| 1306262936 | Randolph Specialty Group Practice | Family Medicine | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2014-03-06 |
| 1104247626 | Randolph Specialty Group Practice | Family Medicine | 600 W Salisbury St, Suite B, Asheboro, NC 27203-5590 | 2013-12-31 |
| Street Address |
124 N PARK ST |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27203-5440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407836406 | Charles B West Jr. | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2006-01-18 |
| 1790063097 | Chelsea Carter-ellis | Audiologist | 124 N Park St, Asheboro, NC 27203-5440 | 2011-08-03 |
| 1265689152 | Whitney M Eanes | Audiologist | 124 N Park St, Asheboro, NC 27203-5440 | 2008-08-21 |
| 1831397363 | Brandon Ma | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2007-07-05 |
| 1568425361 | Randolph Ear, Nose & Throat Associates, P.a. | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1689151912 | Earth Angels Home Care | In Home Supportive Care | 167 Macarthur St., Asheboro, NC 27203 | 2018-07-19 |
| 1518485333 | Katherine Hall Kruppenbach | Nurse Practitioner | 223 W Ward St Ste B, Asheboro, NC 27203 | 2017-08-31 |
| 1912429705 | Julie Yates Allsbrook | Pharmacist | 363 Sunset Avenue, Asheboro, NC 27203 | 2017-07-12 |
| 1932651452 | Joshua Knight | Physician Assistant | 197 Nc-42, Asheboro, NC 27203 | 2016-11-01 |
| 1053862391 | Jamie Lauren Webb | Physician Assistant | 197 North Carolina 42 East, White Oak Urgent Care, Asheboro, NC 27203 | 2016-10-21 |
| 1780936146 | Randolph County Senior Adults Association, Inc. | Non-emergency Medical Transport (VAN) | 133 West Wainman Ave., Asheboro, NC 27203 | 2012-10-10 |
| 1730472515 | Maggie Wright Fetner | Dentist | 202 N. Cox St, Asheboro, NC 27203 | 2011-05-26 |
| 1144528944 | Central Piedmont Surgery Center LLC | Clinic/Center | 724 Thomas Street, Asheboro, NC 27203 | 2011-03-03 |
| 1669785614 | Easter Seals Ucp North Carolina & Virginia, Inc. | Case Management | 624 S Fayetteville St, Suite E, Asheboro, NC 27203 | 2010-07-20 |
| Find all providers in zip 27203 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831397363 | Brandon Ma | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605888 | Inbal Hazkani Bendror | Otolaryngology | 1217 Mossy Glade Cir, Apex, NC 27502-4874 | 2019-12-05 |
| 1174183156 | Queen City Ear Nose and Throat Pllc | Otolaryngology | 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660 | 2019-06-20 |
| 1194244012 | Ethan Staats | Otolaryngology | 391 Heaton Forest Rd, Cashiers, NC 28717 | 2017-09-12 |
| 1528423068 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 | 2015-12-29 |
| 1598151763 | Adam Richard Gigliotti | Otolaryngology | 400 E Stonewall St, Charlotte, NC 28202-3601 | 2015-04-14 |
| 1891112389 | Marshall Snow | Otolaryngology | 109 Piedmont Ave, Winston Salem, NC 27101-3607 | 2014-03-24 |
| 1073937942 | John Monroe | Otolaryngology | 525 Hardee Branch Rd, West End, NC 27376-8961 | 2014-02-12 |
| 1457794893 | Candace Mitchell Waters | Otolaryngology | 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 | 2013-04-16 |
| 1457794927 | Amanda Jo Lott Marcellino | Otolaryngology | 1132 N Church St Ste 200, Greensboro, NC 27401 | 2013-04-15 |
| 1710320510 | Nicolas-george Katsantonis | Otolaryngology | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 | 2013-04-10 |
| Find all providers with the same taxonomy | ||||
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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.