DR. ROBERT PERRY RANDOLPH (NPI# 1881674406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881674406 |
Entity Type | Individual |
Full Name | DR. ROBERT PERRY RANDOLPH |
Credential | M.D. |
Practice Address |
212 78th St Virginia Beach VA 23451-1923 |
Practice Telephone | 7574250299 |
Practice Fax Number | 7574252424 |
Mailing Telephone | 7574250299 |
Mailing Fax Number | 7574252424 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | 0101024104 | VA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700337979 | Robert Randolph | Registered Nurse | 4200 N Holton St Ste 110, Milwaukee, WI 53212-1065 | 2016-10-21 |
1508011552 | Robert Styles Randolph | Psychiatry & Neurology | 8 Sunflower Rd, Somerset, NJ 08873-7153 | 2008-11-18 |
1952592453 | Robert Cargill Randolph | Counselor | 2100 S. State St., Hemet, CA 92543 | 2007-08-08 |
1477697126 | Robert Alexander Randolph | Dentist | 432 N Cedros Ave, Solana Beach, CA 92075-1255 | 2007-02-16 |
1093756140 | Robert Randolph | Internal Medicine | 265 Cohasset Road, Chico, CA 95926 | 2006-06-09 |
Street Address |
212 78TH ST |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23451-1923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
Find all providers in zip 23451 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942707690 | Kevin H Chen | Military Health Care Provider | 1640 Tomcat Blvd Ste 300, Virginia Beach, VA 23460-2229 | 2018-04-10 |
1427424621 | Willie Patrick Mitchell | Military Health Care Provider | 528 Minute Men Rd, Virginia Beach, VA 23462-2232 | 2015-08-11 |
1548469851 | Jose E Sanchez Norat | Military Health Care Provider | 2909 Mimosa Ct, Virginia Beach, VA 23453-7053 | 2007-07-16 |
1376946897 | Lydia Kay Andaya | Military Health Care Provider | 2220 Schofield Rd, Virginia Beach, VA 23459 | 2014-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023637626 | Hands On Healing Therapy | Military Health Care Provider | 1901 Huguenot Rd Ste 106, North Chesterfield, VA 23235-4311 | 2020-04-13 |
1467019398 | Michael Gumpert | Military Health Care Provider | 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 | 2019-05-27 |
1396262903 | Spencer Nelson | Military Health Care Provider | 2122 Longfellow Rd, Yorktown, VA 23691-5118 | 2017-08-24 |
1770019937 | Mitchell Ayers | Military Health Care Provider | 4273 Llewellyn Ave Apt 401, Norfolk, VA 23504-1140 | 2017-05-10 |
1033572003 | Alan Joseph Nicotra | Military Health Care Provider | 1059 Bellinger Blvd, Norfolk, VA 23511-2298 | 2016-03-29 |
1376908939 | Savannah Bailey | Military Health Care Provider | 17019 Cass Brook Ln, Woodbridge, VA 22191-5162 | 2015-12-28 |
1184011744 | Jacob Paul Reinhart | Military Health Care Provider | Us Fleet Forces Command 1562 Mitscher Ave Ste-250, Norfolk, VA 23551-2487 | 2015-04-22 |
1619154556 | Pacot Builders Inc | Military Health Care Provider | 315 Brookestone Dr, Forest, VA 24551 | 2008-01-23 |
1093913402 | Edgar Omar Rodriguez | Military Health Care Provider | Uss Bataan Lhd-5, Fpo Ae, Norfolk, VA 09554-1657 | 2007-07-06 |
1972664753 | Gerald Raymond Turner | Military Health Care Provider | 300 East Main, Suite 1000, Norfolk, VA 23510 | 2006-12-13 |
Find all providers with the same taxonomy |
City | VIRGINIA BEACH |
Zip Code | 23451 |
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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.