Wendell L Randall (NPI# 1902856065, PAC ID# 6901852664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1902856065 |
| PAC ID by PECOS | 6901852664 |
| Professional Enrollment ID | I20100929001463 |
| Full Name | Wendell L Randall |
| Address |
956 N Main St Mount Airy NC 27030-3747 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialties | ADDICTION MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8 Radford St, Suite 202, Christiansburg, VA 24073-3341 | 5403812425 | L5 MEDICAL HOLDINGS LLC DBA PAIN CARE CENTER OF LYNCHBURG |
| 4262 S Amherst Hwy, Suite 200, Madison Heights, VA 24572-5363 | 4345284640 | L5 MEDICAL HOLDINGS LLC DBA PAIN CARE CENTER OF LYNCHBURG |
| 956 N Main St, Mount Airy, NC 27030-3747 |
| Street Address |
956 N MAIN ST |
| City | MOUNT AIRY |
| State | NC |
| Zip | 27030-3747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Bowers | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Nicholas T Kipreos | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Mark A Dodd | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Alison L Shiminski | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Michelle Combs | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Emily S Epling | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Elizabeth A Casstevens | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Jamie S Raymond | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Linda M Gatchel | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Frantz E Pierre | Psychiatry | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Find all physicians in zip 27030 | |||
| City | MOUNT AIRY |
| Zip Code | 27030 |
| Specialty | PATHOLOGY |
| City + Specialty | MOUNT AIRY + PATHOLOGY |
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| 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.