DR. RANDY L. WOLFE (NPI# 1760486021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760486021 |
| Entity Type | Individual |
| Full Name | DR. RANDY L. WOLFE |
| Credential | MD |
| Practice Address |
1325 Triplett St Owensboro KY 42303-3163 |
| Mailing Address |
Po Box 1395 Owensboro KY 42302-1395 |
| Practice Telephone | 2706884325 |
| Mailing Telephone | 2706884325 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2007-07-09 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 18397 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CIGNA | 7513462 | 01 |
| KY | 65934259 | 05 | |
| KY | ANTHEM BLUE CROSS/SHIELD | 000000198726 | 01 |
| KY | 64183973 | 05 | |
| KY | PASSPORT | 50002978 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326663865 | Randy David Wolfe | Optometrist | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003-3699 | 2020-06-10 |
| 1811319437 | Randy Wolfe | Nurse Practitioner | 593 Eddy St, Apc4, Providence, RI 02903-4923 | 2014-01-16 |
| Street Address |
1325 TRIPLETT ST |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861927048 | Ashley N Emmick | Nurse Practitioner | 1325 Triplett St, Owensboro, KY 42303-3163 | 2017-04-26 |
| 1023478310 | Calla M Hass | Nurse Practitioner | 1325 Triplett St, # A, Owensboro, KY 42303-3163 | 2016-02-29 |
| 1669845764 | Kathy A Thiesse | Nurse Practitioner | 1325 Triplett St, Owensboro, KY 42303-3163 | 2015-11-11 |
| 1336573641 | Krystal M Medley | Nurse Practitioner | 1325 Triplett St, Owensboro, KY 42303-3163 | 2013-08-23 |
| 1881879542 | Owensboro Family Medicine, Psc | Nurse Practitioner | 1325 Triplett St, Owensboro, KY 42303-3163 | 2007-12-31 |
| 1043439193 | Randy L Wolfe, Md | Internal Medicine | 1325 Triplett St, Owensboro, KY 42303-3163 | 2007-04-25 |
| 1376631770 | Ronald Eugene Taylor | Family Medicine | 1325 Triplett St, Owensboro, KY 42303-3163 | 2006-10-11 |
| 1902905987 | Owensboro Family Medicine Psc | Family Medicine | 1325 Triplett St, Owensboro, KY 42303 | 2006-09-22 |
| 1215993209 | Jeffrey S Danetz | Surgery | 1325 Triplett St, Owensboro, KY 42303-3163 | 2006-04-26 |
| 1811997166 | Bill J Bryant | Family Medicine | 1325 Triplett St, Owensboro, KY 42303-3163 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| 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 |
|---|---|---|---|---|
| 1093963563 | Lior Shamai | Internal Medicine | 1301 Pleasant Valley Road, Suite 202, Owensboro, KY 42303-9619 | 2008-09-08 |
| 1770748667 | Jeremy D. Luckett | Internal Medicine | 2851 New Hartford Rd Ste A, Owensboro, KY 42303 | 2008-07-21 |
| 1225049232 | Richard W Medley Jr. | Internal Medicine | 1220 Frederica St, Owensboro, KY 42301-3057 | 2006-08-11 |
| 1215962212 | Kentuckiana Heart & Vascular Specialists Psc | Internal Medicine | 815 East Parrish Avenue, Suite 330, Owensboro, KY 42303 | 2006-07-11 |
| 1881623395 | Bernard J Buchanan | Internal Medicine | 1030a Burlew Blvd, Owensboro, KY 42303-1735 | 2006-06-30 |
| 1184678179 | Robert Neil Pope | Internal Medicine | 1126 Triplett St, Suite 102, Owensboro, KY 42303-3155 | 2006-05-22 |
| 1699728535 | Samuel C Dunlany | Internal Medicine | 1400 Robin Rd, Owensboro, KY 42301-2845 | 2006-05-19 |
| 1891792818 | Mahendra C Maru | Internal Medicine | 1930 E Parrish Ave, Owensboro, KY 42303-1443 | 2005-07-05 |
| 1598761702 | Patrick Brian Gipe | Internal Medicine | 3346 Professional Park Dr, Owensboro, KY 42303-4551 | 2005-06-22 |
| 1528676673 | Health Quest Medical Care | Internal Medicine | 2609 New Hartford Rd Ste 1, Owensboro, KY 42303-1316 | 2020-07-15 |
| Find all providers in OWENSBORO | ||||
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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.