RANDYL SHANE CHASE (NPI# 1689232860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689232860 |
| Entity Type | Individual |
| Full Name | RANDYL SHANE CHASE |
| Practice Address |
80 State Highway 310 Ste 1 Canton NY 13617-1493 |
| Mailing Address |
136 Wilson St Gouverneur NY 13642-3270 |
| Practice Telephone | 3153862189 |
| Mailing Telephone | 3155736689 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
35354 | NY | Behavioral Health & Social Service Providers |
| Street Address |
80 STATE HIGHWAY 310 STE 1 |
| City | CANTON |
| State | NY |
| Zip Code | 13617-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043304645 | Patricia Pielnik | Psychiatry & Neurology | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2006-10-03 |
| 1659985158 | Tracy Hart | Peer Specialist | 80 State Highway 310 Ste 1, Canton, NY 13617-1493 | 2020-09-02 |
| 1891285631 | Brianna Kessler | Student in an Organized Health Care Education/Training Program | 80 State Highway 310 Ste 1, Canton, NY 13617-1493 | 2018-05-17 |
| 1720588742 | Lakshmi Nair | Registered Nurse | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2018-02-16 |
| 1669879060 | Kaylie E. Deshane | Counselor | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2014-12-01 |
| 1447667878 | Kristina Beth Kelly-snow | Counselor | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2014-07-17 |
| 1376827196 | Gidget Q.v. Rafus-rousell | Counselor | 80 State Highway 310 Ste 1, St. Lawrence County Community, Canton, NY 13617-1436 | 2011-09-29 |
| 1922288844 | Cynthia J Provow | Obstetrics & Gynecology | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2007-11-08 |
| 1376664425 | Sheri L Page | Registered Nurse | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2007-04-03 |
| 1346371705 | Antoine Gabriel | Psychiatry & Neurology | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1962043141 | Erin Ann Williams | Counselor | 1023 S Trade Days Blvd Unit 102, Canton, TX 75103-2434 | 2019-09-30 |
| 1346898079 | Shericka Meeks | Counselor | 304 15th St Ne Ste B, Canton, OH 44714-2523 | 2019-08-27 |
| 1295293876 | Diamond Lawrencethia Gay | Counselor | 4661 Belpar St Nw, Canton, OH 44718-3602 | 2019-03-04 |
| Find all providers in CANTON | ||||
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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.