Randolph A Decarlo (NPI# 1982691549, PAC ID# 7113965864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1982691549 |
| PAC ID by PECOS | 7113965864 |
| Professional Enrollment ID | I20050422000058 |
| Full Name | Randolph A Decarlo |
| Organization Legal Name | MDICS AT CIVISTA LLC |
| Address |
5 Garrett Ave La Plata MD 20646-5960 |
| Phone Number | 4439490814 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8325200793 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210035 | UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5 Garrett Ave, La Plata, MD 20646-5960 | 4439490814 | MDICS AT CIVISTA LLC |
| Organization Legal Name | MDICS AT CIVISTA LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Dawn Hughes | Physician Assistant | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Sudhakar Vl Devathi | Hospitalist | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Shalender Saini | Hospitalist | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Seid Aminu | Hospitalist | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Rebika Bijukchhe | Hospitalist | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Mamata Blon | Physician Assistant | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Ramani P Perla | Hospitalist | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Michael Legasion Tekle | Hospitalist | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Kimberle Hogge | Physician Assistant | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Mary E Boone | Physician Assistant | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Street Address |
5 GARRETT AVE |
| City | LA PLATA |
| State | MD |
| Zip | 20646-5960 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Dawn Hughes | Physician Assistant | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Sudhakar Vl Devathi | Hospitalist | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Shalender Saini | Hospitalist | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| James Tzeng | Thoracic Surgery | Surgical Associates Chartered | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Vijayasimha Pothula | Anesthesiology | Maryland Anesthesia and Pain Management Services PC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Rachel P Stewart Johnson | Certified Registered Nurse Anesthetist (crna) | Maryland Anesthesia and Pain Management Services PC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Robert John Wagner Jr. | General Surgery | Surgical Associates Chartered | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Seid Aminu | Hospitalist | Mdics At Civista LLC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Darrell E Lewis | Anesthesiology | Maryland Anesthesia and Pain Management Services PC | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Matthew Peter Dattwyler | Diagnostic Radiology | University of Maryland Diagnostic Imaging Specialists, Pa | 5 Garrett Ave, La Plata, MD 20646-5960 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Alfano | Chiropractic | 203 Centennial St, Suite 105, La Plata, MD 20646-2741 | |
| Megan N Shroyer | Physician Assistant | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Kirandeep Kaur | Internal Medicine | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Taana P Viviano | Internal Medicine | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Farhana B Syed | General Practice | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Juachi I Mbah | Nurse Practitioner | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Michael J Warren | Nurse Practitioner | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Ted Howe | Pediatric Medicine | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Josjin Vazhappilly | Internal Medicine | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Virginia A Noftsier | Physician Assistant | Mdics Rehabilitative Services LLC | 10200 La Plata Rd, La Plata, MD 20646-3245 |
| Find all physicians in zip 20646 | |||
| City | LA PLATA |
| Zip Code | 20646 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LA PLATA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Randolph A Decarlo.
| 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.