RANDLEMAN MEDICAL CENTER LLC (NPI# 1710920335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710920335 |
| Entity Type | Organization |
| Organization Name | RANDLEMAN MEDICAL CENTER LLC |
| Practice Address |
702 S Main St Randleman NC 27317-2102 |
| Practice Telephone | 3364988500 |
| Practice Fax Number | 3364988522 |
| Mailing Telephone | 3364988500 |
| Mailing Fax Number | 3364988522 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-03-29 |
| Authorized Official Name | DR. TANVIR A CHODRI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3364988500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
19463 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | 2275130E | 01 |
| NC | 7902499 | 05 |
| Street Address |
702 S MAIN ST |
| City | RANDLEMAN |
| State | NC |
| Zip Code | 27317-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780667840 | Regina Faith York | Nurse Practitioner | 702 S Main St, Randleman, NC 27317-2102 | 2005-11-22 |
| 1093111924 | Melissa Smith Rose | Nurse Practitioner | 702 S Main St, Randleman, NC 27317-2102 | 2014-11-04 |
| 1477810265 | Randleman Medical Clinic Pllc | Family Medicine | 702 S Main St, Randleman, NC 27317-2102 | 2012-04-18 |
| 1881998748 | Deacon Med Pa | Clinic/Center | 702 S Main St, Randleman, NC 27317-2102 | 2011-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356629026 | Eric James Ablott | Optometrist | 200 West Academy St, Randleman, NC 27317 | 2011-07-29 |
| 1891960241 | Pine Haven Family Medicine Pa | Family Medicine | 604 West Academy St, Randleman, NC 27317 | 2008-04-28 |
| 1902923139 | Sanford M Cates | Dentist | 107 West Naomi St, Randleman, NC 27317 | 2007-03-23 |
| 1295804417 | Grant James Haviland | Dentist | 215 West Naomi Street, Randleman, NC 27317 | 2006-11-06 |
| 1396763843 | Therapeutic Alternatives Inc | In Home Supportive Care | 4270 Heath Dairy Road, Randleman, NC 27317 | 2006-07-17 |
| 1982676441 | John James Slatosky Jr. | Family Medicine | 604 W Academy St, Randleman, NC 27317 | 2006-02-07 |
| 1598269748 | Carol A Bullard | Nurse Practitioner | 608 W Academy St, Randleman, NC 27317 | 2018-03-22 |
| 1174026058 | Jordan C Mullins | Specialist/Technologist | 201 Hammond St, Randleman, NC 27317-1435 | 2018-03-16 |
| 1992867402 | Ryan E Snipes | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2006-12-14 |
| 1558900035 | Eyecarecenter Od Pa | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2019-12-31 |
| Find all providers in zip 27317 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881998748 | Deacon Med Pa | Clinic/Center | 702 S Main St, Randleman, NC 27317-2102 | 2011-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
| 1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
| 1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RANDLEMAN MEDICAL CENTER LLC.
| 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.