RANDALL GARY SAMPLES (NPI# 1699732115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699732115 |
| Entity Type | Individual |
| Full Name | RANDALL GARY SAMPLES |
| Credential | MD |
| Practice Address |
5562 Cougar Trail Rd Dublin VA 24084 |
| Mailing Address |
Po Box 969 Dublin VA 24084 |
| Practice Telephone | 5406749359 |
| Practice Fax Number | 5406741825 |
| Mailing Telephone | 5406749359 |
| Mailing Fax Number | 5406741825 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101033704 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
5562 COUGAR TRAIL RD |
| City | DUBLIN |
| State | VA |
| Zip Code | 24084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790891687 | Jackie L Morgan | Physician Assistant | 5562 Cougar Trail Rd, Dublin, VA 24084-0969 | 2006-08-22 |
| 1023062080 | Richard C Gehrz | Pediatrics | 5562 Cougar Trail Rd, Dublin, VA 24084 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609356518 | Pain Management Centers of Southwest Virginia | Physical Medicine & Rehabilitation | 30-31 Town Center Drive, Dublin, VA 24084 | 2018-08-20 |
| 1063902633 | Family Preservation Services Inc | Community/Behavioral Health | 600 Dublap Road, Dublin, VA 24084 | 2018-05-18 |
| 1770719486 | Knotresha Floreth Stewart | Internal Medicine | 28 Town Center Drive, Dublin, VA 24084 | 2009-06-09 |
| 1124299110 | Harvey Dentistry Nrv, PC | Clinic/Center | 4664 Lee Hwy, Dublin, VA 24084 | 2008-03-18 |
| 1427244821 | W Matthew Skewes Md PC | Internal Medicine | 112 Broad St, Dublin, VA 24084 | 2007-09-19 |
| 1588863955 | Charles Eric Berry | Physical Therapy Assistant | 5286 Alexander Road, Heartland Rehabilitation Services of Virginia Inc, Dublin, VA 24084 | 2007-07-16 |
| 1326116120 | Dublin Pharmacy | Pharmacy | 703 Broad St., Dublin, VA 24084 | 2006-12-01 |
| 1851498398 | Childrens Choice, P.C. | Pediatrics | 5562 Cougar Trail Road, Dublin, VA 24084 | 2006-09-19 |
| 1811008485 | Laura Kay Miear | Occupational Therapist | 5286 Alexander Rd, Heartland Rehabilitation Services, Dublin, VA 24084 | 2006-08-31 |
| 1003920281 | Joseph Charles Holmes Jr. | Dentist | 254 W. Main St., Dublin, VA 24084 | 2006-08-18 |
| Find all providers in zip 24084 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912392135 | Theodore Chou | Pediatrics | 4050 Dublin Blvd Fl 1, Dublin, CA 94568 | 2015-04-03 |
| 1730332503 | Ilona Brener Albrecht | Pediatrics | 4335 W. Dublin-granville Rd., Dublin, OH 43017 | 2008-10-24 |
| 1710167473 | Drew Moorman | Pediatrics | 104 Fairview Park Dr Ste 200, Dublin, GA 31021 | 2007-11-10 |
| 1639236102 | Rivers Edge Pediatrics Inc | Pediatrics | 100 N High Street, Suite A, Dublin, OH 43017 | 2007-01-03 |
| 1639234073 | Michael Carl Loar | Pediatrics | 5110 Blazer Pkwy, Dublin, OH 43017-1339 | 2006-12-26 |
| 1154483089 | Charles Michael Goddard II | Pediatrics | 7275 Sawmill Road, Northwest Pediatrics, Inc., Dublin, OH 43016 | 2006-12-15 |
| 1184721094 | Surendranath Kavuri | Pediatrics | 112 Rowe Street, Dublin, GA 31021 | 2006-09-20 |
| 1851498398 | Childrens Choice, P.C. | Pediatrics | 5562 Cougar Trail Road, Dublin, VA 24084 | 2006-09-19 |
| 1033228226 | Northwest Pediatrics, Inc. | Pediatrics | 7275 Sawmill Rd, Dublin, OH 43016-9021 | 2006-08-30 |
| 1679584726 | Kannan Vaidyanathan | Pediatrics | 112 Rowe St, Dublin, GA 31021 | 2006-08-11 |
| Find all providers in DUBLIN | ||||
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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.