Derrick E Randdolf
CONCORD MEDICAL GROUP PLLC


Address: 305 N Mckinney St, Sweeny, TX 77480-2801
Phone: 9795481500

Derrick E Randdolf (NPI# 1104205343, PAC ID# 8426348178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1104205343
PAC ID by PECOS 8426348178
Professional Enrollment ID I20171130001563
Full Name Derrick E Randdolf
Organization Legal Name CONCORD MEDICAL GROUP PLLC
Address 305 N Mckinney St
Sweeny
TX 77480-2801
Phone Number 9795481500
Gender M
Graduation Year 2012
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 0446296818
Number of Group Practice Members 204
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450653 SCENIC MOUNTAIN MEDICAL CENTER
450144 PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO
451358 MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
720 Hospital Dr, Andrews, TX 79714-3617 9155232200 ANDREWS COUNTY HOSPITAL DISTRICT
1601 W 11th Pl, Big Spring, TX 79720-4114 4322631211 CONCORD MEDICAL GROUP OF TEXAS PLLC
600 Interstate 20, Stanton, TX 79782-0640 4327563345 CONCORD MEDICAL GROUP PLLC
305 N Mckinney St, Sweeny, TX 77480-2801 9795481500 CONCORD MEDICAL GROUP PLLC

Organization Information

Organization Legal Name CONCORD MEDICAL GROUP PLLC
Physicians 212

Physicians with the same organization

Name Specialty Organization Address
Michael W Lamb Emergency Medicine Concord Medical Group Pllc 110 Shult Dr, Columbus, TX 78934-3016
Elizabeth Tu Family Medicine Concord Medical Group Pllc 600 Interstate 20, Stanton, TX 79782-0640
Ilona Nekhayeva Family Medicine Concord Medical Group Pllc 705 E Felt St, Brownfield, TX 79316-3449
Anas Albrejawi Alhomsi Family Medicine Concord Medical Group Pllc 310 W S St, Henrietta, TX 76365-3346
Stephanie K Denison Emergency Medicine Concord Medical Group Pllc 304 S Daugherty Ave, Eastland, TX 76448-2609
Stephen George Family Practice Concord Medical Group Pllc 400 Southwest 25th Ave, Mineral Wells, TX 76067-8246
Danny L Farley Jr. Family Medicine Concord Medical Group Pllc 125 Newman St, Fairfield, TX 75840-1419
Michael L Gaines Nurse Practitioner Concord Medical Group Pllc 215 Chisholm Trl, Jacksboro, TX 76458-1403
Dawn M Simons Nurse Practitioner Concord Medical Group Pllc 311 Green Ave, Palacios, TX 77465-3213
Hassan A Ahmed General Surgery Concord Medical Group Pllc 1 Ave N, Haskell, TX 79521-5415

Office Location

Street Address 305 N MCKINNEY ST
City SWEENY
State TX
Zip 77480-2801

Physicians in the same location

Name Specialty Organization Address
Richard Erickson Family Medicine Sweeny Hospital District 305 N Mckinney St, Sweeny, TX 77480-2801
Sheri J Talley Emergency Medicine Concord Medical Group Pllc 305 N Mckinney St, Sweeny, TX 77480-2801
Christopher Lovell Hankins Plastic and Reconstructive Surgery 305 N Mckinney St, Sweeney, TX 77480-2281
John H Rose Family Medicine Concord Medical Group Pllc 305 N Mckinney St, Sweeny, TX 77480-2801
George W Deleon Anesthesiology 305 N Mckinney St, Sweeny, TX 77480-2801
Padmaneel B Kanase Family Medicine Concord Medical Group Pllc 305 N Mckinney St, Sweeny, TX 77480-2801
Ted A Kovacev General Surgery Sweeny Hospital District 305 N Mckinney St, Sweeny, TX 77480-2801
Sheyenne Silver Scott General Surgery Concord Medical Group Pllc 305 N Mckinney St, Sweeny, TX 77480-2801
Lisa Schaubroeck Nurse Practitioner Sweeny Hospital District 305 N Mckinney St, Sweeny, TX 77480-2801
Omerine Y Aseh Family Medicine Concord Medical Group Pllc 305 N Mckinney St, Sweeny, TX 77480-2801
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Enrique A Leal Iii Family Medicine Sweeny Medical Clinic 303 N Mckinney St E, Sweeny, TX 77480-2800
Steven Dale Eggleston Orthopedic Surgery 303 N Mckinney, Suite D, Sweeny, TX 77480-2801
Wael A Alnajjar Hospitalist Concord Medical Group Pllc 305 N Mckinney St, Sweeny, TX 77480-2801
Mohammad A Saeed Diagnostic Radiology Advanced Vascular and Interventional Center 305 N Mckinney St, Sweeny Community Hospital, Sweeny, TX 77480-2801
Falon L Turner Nurse Practitioner Sweeny Hospital District 305 N Mckinney St, Sweeny, TX 77480-2801
Raymond C Jess Preventative Medicine Sweeny Hospital District 305 N Mckinney St, Sweeny, TX 77480-2801
John Thomas Watson Internal Medicine Concord Medical Group Pllc 305 N Mckinney St, Sweeny, TX 77480-2801
Robert B Hong Internal Medicine Sweeny Hospital District 305 N Mckinney St, Sweeny, TX 77480-2801
Lawrence Leboeuf Emergency Medicine Concord Medical Group Pllc 305 N Mckinney St, Sweeny, TX 77480-2801
Robert J. Broselow General Practice Concord Medical Group Pllc 305 N Mckinney St, Sweeny, TX 77480-2801
Find all physicians in zip 77480

Competitor

Search similar physicians

City SWEENY
Zip Code 77480
Specialty FAMILY MEDICINE
City + Specialty SWEENY + FAMILY MEDICINE

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Dataset Information

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.

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