SUSANNA TILGHMAN RANDALL (NPI# 1821283003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821283003 |
| Entity Type | Individual |
| Full Name | SUSANNA TILGHMAN RANDALL |
| Credential | CRNP |
| Practice Address |
3535 Market St Suite 100 Philadelphia PA 19104-3309 |
| Mailing Address |
724 Cornelia Pl Philadelphia PA 19118-4109 |
| Practice Telephone | 2157463535 |
| Mailing Telephone | 2152424693 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2009-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP-001001-C | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3535 MARKET ST SUITE 100 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275511255 | Constance Reich Murphy | Nurse Practitioner | 3535 Market St, Suite 100, Philadelphia, PA 19104-3309 | 2006-01-09 |
| 1104430115 | Christine Caton | Nurse Practitioner | 3535 Market St, Philadelphia, PA 19104-3309 | 2020-09-08 |
| 1861020786 | Taylor Davis | Student in an Organized Health Care Education/Training Program | 3535 Market St, Philadelphia, PA 19104-3309 | 2020-03-27 |
| 1891273413 | Elisa Barrett Payne | Psychologist | 3535 Market St, Philadelphia, PA 19104-3309 | 2018-08-06 |
| 1093211807 | Angel Marie Augustin | Student in an Organized Health Care Education/Training Program | 3535 Market St, Philadelphia, PA 19104-3309 | 2018-04-02 |
| 1235666736 | Ellen T Behan-heinbockel | Nurse Practitioner | 3535 Market St, Philadelphia, PA 19104-3309 | 2017-05-15 |
| 1396271938 | Mark Baptiste | Student in an Organized Health Care Education/Training Program | 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 | 2017-05-02 |
| 1144755547 | Yin Stern Li | Student in an Organized Health Care Education/Training Program | 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 | 2017-04-24 |
| 1417481557 | Ewurama Elaine Sackey | Student in an Organized Health Care Education/Training Program | 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 | 2017-04-15 |
| 1346774494 | Nana Asabere | Student in an Organized Health Care Education/Training Program | 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 | 2017-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1780185835 | Neva White | Nurse Practitioner | 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 | 2018-02-23 |
| 1790298487 | Anne Kathryn Henner | Nurse Practitioner | 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 | 2017-11-16 |
| 1174052997 | Cynthia Wheeler | Nurse Practitioner | 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 | 2017-06-06 |
| 1740716893 | Liliya Gurevich | Nurse Practitioner | 7906 Frontenac St, Philadelphia, PA 19111-2902 | 2017-05-11 |
| 1235589664 | Juliana Omile | Nurse Practitioner | 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 | 2016-06-16 |
| 1275980468 | Joji Thomas | Nurse Practitioner | 9659 Sandanne Rd, Philadelphia, PA 19115-2727 | 2016-05-18 |
| 1073988374 | Cristhi Wilson-brown | Nurse Practitioner | 521 W Girard Ave, Philadelphia, PA 19123-1428 | 2015-12-11 |
| 1932579984 | Tierney A Fisher | Nurse Practitioner | 3737 Market St Fl 10, Philadelphia, PA 19104-5545 | 2015-10-03 |
| 1306223813 | Anthony Yaroslav Fisun | Nurse Practitioner | 2008 President St, Philadelphia, PA 19115-2607 | 2015-05-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on SUSANNA TILGHMAN RANDALL.
| 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.