Jason T Randall (NPI# 1700974904, PAC ID# 0648325357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1700974904 |
| PAC ID by PECOS | 0648325357 |
| Professional Enrollment ID | I20090902000133 |
| Full Name | Jason T Randall |
| Organization Legal Name | SOUTHERN ORTHOPAEDIC SURGEONS LLC |
| Address |
668 Mcqueen Smith N Rd Prattville AL 36066-7511 |
| Phone Number | 3346139000 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9335166685 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| 010149 | BAPTIST MEDICAL CENTER EAST |
| 010108 | PRATTVILLE BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 454 Taylor Rd, Montgomery, AL 36117-3563 | 3346139000 | SOUTHERN ORTHOPAEDIC SURGEONS LLC |
| 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 | 3346139000 | SOUTHERN ORTHOPAEDIC SURGEONS LLC |
| 9 Cambridge Ct, Wetumpka, AL 36093-1261 | 3346139000 | SOUTHERN ORTHOPAEDIC SURGEONS LLC |
| Organization Legal Name | SOUTHERN ORTHOPAEDIC SURGEONS LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel Guillermo Escobar | Nurse Practitioner | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Sonja Lewis Brown | Occupational Therapy | Southern Orthopaedic Surgeons LLC | 454 Taylor Rd, Montgomery, AL 36117-3563 |
| Chad M Guidry | Physical Therapy | Southern Orthopaedic Surgeons LLC | 9 Cambridge Ct, Wetumpka, AL 36093-1261 |
| Bryan W Gandy | Physical Therapy | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Charles T Fletcher Jr. | Orthopedic Surgery | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Roland A Hester Iv | Orthopedic Surgery | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Robert Edgar Howell Iii | Orthopedic Surgery | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Stephen W Samelson | Orthopedic Surgery | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Carri A Carpenter | Physical Therapy | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Michael T Mount | Physician Assistant | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Street Address |
668 MCQUEEN SMITH N RD |
| City | PRATTVILLE |
| State | AL |
| Zip | 36066-7511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel Guillermo Escobar | Nurse Practitioner | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Bryan W Gandy | Physical Therapy | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Charles T Fletcher Jr. | Orthopedic Surgery | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Roland A Hester Iv | Orthopedic Surgery | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Robert Edgar Howell Iii | Orthopedic Surgery | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Stephen W Samelson | Orthopedic Surgery | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Carri A Carpenter | Physical Therapy | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Michael T Mount | Physician Assistant | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Randall Lee Murphy Jr. | Orthopedic Surgery | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Derrick M Johnson | Physician Assistant | Southern Orthopaedic Surgeons LLC | 668 Mcqueen Smith N Rd, Prattville, AL 36066-7511 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer H Mann | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Meloni N Carter | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Wendy Mcfarland Cavey | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Maarten Wybenga | Family Medicine | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Amy M Wybenga | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Alexander C Whitley | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Robert Lee Franklin | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Leigh Anne Luna | Nurse Practitioner | Alabama Post-acute Medical Service 1 PC | 601 Jasmine Trl, Prattville, AL 36066-3661 |
| Melanie A Lawrenc | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| George N Eischens | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| Find all physicians in zip 36066 | |||
| City | PRATTVILLE |
| Zip Code | 36066 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PRATTVILLE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jason T Randall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.