DR. RANDOLPH ROBERT MACDONALD (NPI# 1831299429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831299429 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH ROBERT MACDONALD |
| Credential | ED.D. |
| Practice Address |
1003 Sallie Ln Shepherdstown WV 25443-4044 |
| Mailing Address |
Po Box 209 Shepherdstown WV 25443-4044 |
| Practice Telephone | 3047259645 |
| Mailing Telephone | 3047259645 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2008-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
135 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0163618000 | 05 |
| Street Address |
1003 SALLIE LN |
| City | SHEPHERDSTOWN |
| State | WV |
| Zip Code | 25443-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235472523 | Potomac Integrative Health Pllc | Family Medicine | 207 S Princess Street, Suite 11, Shepherdstown, WV 25443 | 2013-04-04 |
| 1841437977 | Riley F Dobbins IIi | Dentist | 7512 Martinsburg Pike, Shepherdstown, WV 25443 | 2009-01-12 |
| 1912168816 | Pure Performance Sportscare and Rehabilitation | Clinic/Center | 547 Willowdale Drive, Shepherdstown, WV 25443 | 2008-06-23 |
| 1144432816 | J. David Myers | Counselor | 41 Maddex Dr., Shepherdstown, WV 25443 | 2007-05-04 |
| 1790907186 | Gayle Lee Conner | Specialist/Technologist | 301north King Street, Shepherd University, Shepherdstown, WV 25443 | 2007-05-03 |
| 1356416259 | Paul Davis | Dentist | Audrey Egle Drive, Shepherdstown, WV 25443 | 2006-11-24 |
| 1356420608 | Providence Counseling Ministries, Inc | Counselor | 41 Maddex Drive, Shepherdstown, WV 25443 | 2006-11-06 |
| 1497841340 | David Vernon Miljour | Chiropractor | 51 Maddex Dr, Maddex Professional Center, Shepherdstown, WV 25443 | 2006-10-05 |
| 1174563928 | Brian S. Erickson | Chiropractor | 7486 Martinsburg Pike, Shepherdstown, WV 25443 | 2006-06-08 |
| 1598764789 | Shepherdstown Fire Department | Ambulance | 852 Martinsburg Pike, Shepherdstown, WV 25443 | 2005-07-19 |
| Find all providers in zip 25443 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083927 | Kimberly Adele Hughes | Psychologist | 310 Cambridge Pointe, Charleston, WV 25309-8596 | 2020-11-04 |
| 1750915286 | Britani Shaye Black | Psychologist | 1115 20th St Ste 200, Huntington, WV 25703-2071 | 2020-02-24 |
| 1316579493 | Continuous Journey | Psychologist | 179 E Burr Blvd Ste F, Kearneysville, WV 25430-4964 | 2020-02-06 |
| 1912537424 | Miyuki N. Ege | Psychologist | 333 Laidley St Fl 4e, Charleston, WV 25301-1614 | 2020-01-23 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1972009405 | Rachel Sherman | Psychologist | 82 Pine St., Franklin, WV 26807-0100 | 2018-04-03 |
| 1518474311 | Brian C Hanasky | Psychologist | 87 15th St, Wheeling, WV 26003-3548 | 2018-01-03 |
| 1952854267 | Kathryn Hemker, Ph.d. Pllc | Psychologist | 145 N Hills Dr, Parkersburg, WV 26104-9216 | 2016-08-03 |
| Find all providers with the same taxonomy | ||||
| City | SHEPHERDSTOWN |
| Zip Code | 25443 |
Please comment or provide details below to improve the information on DR. RANDOLPH ROBERT MACDONALD.
| 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.