Randall B Kiser (NPI# 1366550477, PAC ID# 7911967633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1366550477 |
| PAC ID by PECOS | 7911967633 |
| Professional Enrollment ID | I20041015000848 |
| Full Name | Randall B Kiser |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Address |
457 E 900 Mapleton UT 84664-5019 |
| Phone Number | 8014897619 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1978 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163597899 |
| Number of Group Practice Members | 279 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330395 | ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE |
| 390079 | ROBERT PACKER HOSPITAL |
| 480002 | GOV JUAN F LUIS HOSPITAL & MEDICAL CTR |
| 330006 | ST JOSEPH'S MEDICAL CENTER |
| 391314 | TITUSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 457 E 900, Mapleton, UT 84664-5019 | 8014897619 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 457 E 900, Mapleton, UT 84664-5019 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitry Bolkhovets | Diagnostic Radiology | Radadvantage A Professional Corporation | 67 Dora St, Apt 3, Stamford, CT 06902-5414 |
| Robert L Sciulli | Diagnostic Radiology | Radadvantage A Professional Corporation | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Clark T Kholeif | Diagnostic Radiology | Radadvantage A Professional Corporation | 6181 Kahiliholo Rd, Kilauea, HI 96754-5117 |
| Tracy J Robinson | Diagnostic Radiology | Radadvantage A Professional Corporation | 1940 E 3375, Millcreek, UT 84106-3939 |
| Katherine Tobin | Diagnostic Radiology | Radadvantage A Professional Corporation | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5570 |
| Charles J Vassallo | Diagnostic Radiology | Radadvantage A Professional Corporation | 2500 Kalakaua Ave, Apt 1003, Honolulu, HI 96815-3602 |
| Judith Corey | Diagnostic Radiology | Radadvantage A Professional Corporation | 5858 Bellaire Dr, New Orleans, LA 70124-1104 |
| Betsy J Bronson | Diagnostic Radiology | Radadvantage A Professional Corporation | 5050 Donald St, Eugene, OR 97405-3526 |
| Mujtaba M Ali | Diagnostic Radiology | Radadvantage A Professional Corporation | 518 S Buena Vista St, Redlands, CA 92373-5804 |
| Brendan Maney Miner | Diagnostic Radiology | Radadvantage A Professional Corporation | 510 14th St, St Augustine, FL 32084-1507 |
| Street Address |
457 E 900 |
| City | MAPLETON |
| State | UT |
| Zip | 84664-5019 |
| City | MAPLETON |
| Zip Code | 84664 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MAPLETON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Randall B Kiser.
| 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.