DR. WILLIAM JOHN RANDALL (NPI# 1851355630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851355630 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOHN RANDALL |
| Credential | MD |
| Practice Address |
1900 Composite Drive Kettering OH 45420-1475 |
| Mailing Address |
25 Merchant Street Suite 220 Cincinnati OH 45246-3740 |
| Practice Telephone | 9372938419 |
| Practice Fax Number | 9372931545 |
| Mailing Telephone | 5135336507 |
| Mailing Fax Number | 5136459767 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2015-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.059106 R | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0827967 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518327618 | William Edward Randall Iv | Student in an Organized Health Care Education/Training Program | 1400 N. Jonson Ave., Suite 101, El Cajon, CA 92020 | 2016-03-02 |
| 1285625707 | William Lewis Randall | Physician Assistant | Hhc Xviii Airborne Corps Surgeon Office, Macomb Street, Bldg 2-1148, Fort Bragg, NC 28310-0001 | 2005-11-03 |
| 1720047988 | William E Randall Jr. | Internal Medicine | 1205 York Rd, Suite 33, Lutherville, MD 21093 | 2006-03-17 |
| Street Address |
1900 COMPOSITE DRIVE |
| City | KETTERING |
| State | OH |
| Zip Code | 45420-1475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932163409 | James A. Derksen | Family Medicine | 1900 Composite Drive, Kettering, OH 45420-1475 | 2006-04-13 |
| 1295799054 | Thomas C. Greer | Family Medicine | 1900 Composite Drive, Kettering, OH 45420-1475 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824547 | Erica Brooke Harris | Chore Provider | 2526 Revere Ave, Apt 10, Dayton, OH 45420 | 2020-03-03 |
| 1932626611 | Christine Catherine Kukla | Counselor | 3280 Woodman Drive, Kettering, OH 45420 | 2017-08-24 |
| 1528502531 | Melanie Renee Gecili | Social Worker | 12 Earhart Place, Dayton, OH 45420 | 2016-12-09 |
| 1629433073 | Morgan Pridemore | Counselor | 2754 S Smithville Rd, Dayton, OH 45420 | 2015-12-29 |
| 1265807515 | Garry Brown | Counselor | 2611 Wayne Ave Bldg 61, Dayton, OH 45420 | 2015-12-10 |
| 1285046839 | Gina Katherine Howenstine | Registered Nurse | 3000 Glengarry Dr., Kettering, OH 45420 | 2014-05-29 |
| 1205260007 | Jo Ellen Perbix Kuzila | Speech-Language Pathologist | 1968-f Woodman Center Drive, Dayton, OH 45420 | 2013-08-28 |
| 1245511575 | Honey Nicole Strong | Licensed Practical Nurse | 1036 Mendota Ct, Kettering, OH 45420 | 2011-08-31 |
| 1043358096 | Cleanne Cass | Family Medicine | 324 Wilmington Avenue, Dayton, OH 45420 | 2007-02-02 |
| 1104981919 | Timothy Harold Farney | Dentist | 2297 Patterson Road, Kettering, OH 45420 | 2006-12-22 |
| Find all providers in zip 45420 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821361510 | William A Erwin | Family Medicine | 4717 Elzo Ln, Kettering, OH 45440-2026 | 2012-02-12 |
| 1376764944 | Letitia Canice Thompson-hargrave | Family Medicine | 513 E Stroop Rd, Kettering, OH 45429-3224 | 2007-05-01 |
| 1023102084 | Christian E. Koch | Family Medicine | 3080 Ackerman Blvd Ste 110, Kettering, OH 45429-3559 | 2006-10-03 |
| 1437256187 | Joseph Gregory Dudash | Family Medicine | 500 Lincoln Park Blvd Ste 220, Kettering, OH 45429-6404 | 2006-09-17 |
| 1134131519 | Carol Gaut Ryan | Family Medicine | 1360 E Stroop Rd, Kettering, OH 45429-4926 | 2006-08-13 |
| 1922051994 | Mvhe Inc | Family Medicine | 1525 E Stroop Rd, Suite 200, Kettering, OH 45429-5065 | 2006-05-18 |
| 1932163409 | James A. Derksen | Family Medicine | 1900 Composite Drive, Kettering, OH 45420-1475 | 2006-04-13 |
| 1366429342 | Carillon Family Practice Ltd | Family Medicine | 2501 S Dixie Dr, Kettering, OH 45409-1523 | 2005-12-29 |
| 1053307447 | Bradford J Murphy | Family Medicine | 3716 Wilmington Pike, Kettering, OH 45429-4845 | 2005-09-21 |
| 1184624413 | Arvin K Nanda | Family Medicine | 4441 Far Hills Ave, Kettering, OH 45429 | 2005-07-28 |
| Find all providers in KETTERING | ||||
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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.