DR. RANDOLPH EUGENE MODLIN (NPI# 1942259114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942259114 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH EUGENE MODLIN |
| Credential | M.D. |
| Practice Address |
320 W Main St White Sulphur Springs WV 24986-2414 |
| Practice Telephone | 3045364870 |
| Mailing Telephone | 3045364870 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2016-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101255193 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25813 | WV | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
30837 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
320 W MAIN ST |
| City | WHITE SULPHUR SPRINGS |
| State | WV |
| Zip Code | 24986-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293636 | Manuel Antonio Gomez | Pathology | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2005-05-24 |
| 1174713382 | Greenbrier Clinic Surgery Center | Clinic/Center | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2007-07-25 |
| 1841226933 | Patrick L Brown | Internal Medicine | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2006-06-23 |
| 1124069141 | Thomas O Dotson | Internal Medicine | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2006-06-09 |
| 1174563084 | George R Thompson | Internal Medicine | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2006-06-08 |
| 1346280278 | Douglas L Jones | Internal Medicine | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2006-06-08 |
| 1073553905 | Constance C Gottshall | Nutritionist | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2006-06-08 |
| 1982643805 | William Norman Cunningham | Internal Medicine | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2006-06-06 |
| 1649241035 | Richard B Kline | Emergency Medicine | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927236 | Sheena Louise Skaggs | Technician | 37560 Midland Trail, White Sulpher Springs, WV 24986 | 2020-09-22 |
| 1588895098 | Cortney Danyel Mccoy | Physical Therapy Assistant | Genesis Healthcare Route 92 At Route 60, White Sulphur Springs, WV 24986 | 2009-07-31 |
| 1831324797 | Michael Ray Osborne | Physical Therapy Assistant | Route 92 At Route 60, Genesis Healthcare, White Sulphur Springs, WV 24986 | 2009-05-21 |
| 1285770768 | Daniel Wallace Nunley | Dentist | 304 East Main Street, White Sulphur Springs, WV 24986 | 2007-01-30 |
| 1841361292 | Frank Collins | Dentist | 308 East Main Street, White Sulphur Springs, WV 24986 | 2006-11-09 |
| 1336258672 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 198 Pochahontas Trail, White Sulphur Spgs, WV 24986 | 2006-08-30 |
| 1114963972 | Glenmark Limited Liability Company I | Non-emergency Medical Transport (VAN) | Route 92, White Sulphur Springs, WV 24986 | 2006-06-21 |
| 1518408368 | Sarah Ronat | Occupational Therapy Assistant | 345 Pocahontas Trail, White Sulphur Springs, WV 24986 | 2017-03-13 |
| 1316495716 | Lanti Michelle Cole | Occupational Therapy Assistant | 345 Pocahontas Trail, White Sulphur Springs, WV 24986 | 2016-09-14 |
| 1265988877 | Joey Palmer | Physical Therapy Assistant | 345 Pocahontas Trail, White Sulphur Springs, WV 24986 | 2016-09-01 |
| Find all providers in zip 24986 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1043258783 | Greenbrier Clinic, Inc. | Internal Medicine | 320 West Main St, White Sulphur Springs, WV 24986-2414 | 2006-06-03 |
| 1124069141 | Thomas O Dotson | Internal Medicine | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713456 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 106, Bridgeport, WV 26330-9009 | 2018-03-12 |
| 1811371321 | Heart & Vascular Medical Center Pllc | Internal Medicine | 427 Carriage Dr, Beckley, WV 25801-2805 | 2015-07-14 |
| 1407294838 | Appalachian Regional Healthcare, Inc. | Internal Medicine | 405 Carriage Drive, Beckley, WV 25801 | 2013-06-07 |
| 1477890630 | Integrated Health Care Providers, Inc. | Internal Medicine | 73 E 3rd Ave, Williamson, WV 25661-3530 | 2013-01-08 |
| 1154688141 | Integrated Health Care Providers, Inc. | Internal Medicine | 556 S Main St, Chapmanville, WV 25508-5001 | 2012-04-16 |
| 1154617678 | Carlos Alberto Rueda Rios | Internal Medicine | 1249 15th St Ste 4000, Huntington, WV 25701-3663 | 2011-06-23 |
| 1669792024 | Getachew Zeleke | Internal Medicine | 1013 Garfield Ave, Parkersburg, WV 26101-4637 | 2010-06-09 |
| 1780906628 | Suncrest Town Centre-wvu | Internal Medicine | 600 Town Centre Drive, Morgantown, WV 26505-1872 | 2010-02-19 |
| 1316271067 | Davis Memorial Hospital - Uha | Internal Medicine | 1 Reed Street & Gorman Ave, Elkins, WV 26241-3496 | 2009-09-29 |
| 1285867739 | Uha- Wvuhi Davis | Internal Medicine | 903 Gorman Ave, Elkins, WV 26241-3149 | 2009-09-01 |
| Find all providers with the same taxonomy | ||||
| City | WHITE SULPHUR SPRINGS |
| Zip Code | 24986 |
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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.