Randall C Fedro (NPI# 1265443550, PAC ID# 9537153812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265443550 |
| PAC ID by PECOS | 9537153812 |
| Professional Enrollment ID | I20080425000527 |
| Full Name | Randall C Fedro |
| Organization Legal Name | BAYVIEW PHYSICIAN SERVICES PC |
| Address |
3235 Bridge Rd Suite 15 Suffolk VA 23435-1780 |
| Phone Number | 7576061656 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5597664201 |
| Number of Group Practice Members | 287 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490011 | BON SECOURS DEPAUL MEDICAL CENTER |
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| 490044 | SENTARA OBICI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3235 Bridge Rd, Suite 15, Suffolk, VA 23435-1780 | 7576061656 | BAYVIEW PHYSICIAN SERVICES PC |
| 4868 Bridge Rd, Suffolk, VA 23435-2048 | 7574837113 | BAYVIEW PHYSICIAN SERVICES PC |
| Organization Legal Name | BAYVIEW PHYSICIAN SERVICES PC |
| Physicians | 299 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley Arin Restivo | Family Medicine | Bayview Physician Services PC | 2088 S Independence Blvd, Suite 103, Virginia Beach, VA 23453-4790 |
| Khyati A Talati | Family Medicine | Bayview Physician Services PC | 2203 E Little Creek Rd, Roosevelt Family Practice, Norfolk, VA 23518-4205 |
| Maureen Cherop Serem | Family Medicine | Bayview Physician Services PC | 3235 Bridge Rd, Suite 15, Suffolk, VA 23435-1780 |
| Palak Kachhadia | Internal Medicine | Bayview Physician Services PC | 612 Kingsborough Sq, Suite 100, Chesapeake, VA 23320-5041 |
| Samantha M Brand | Family Medicine | Bayview Physician Services PC | 1024 S Battlefield Blvd, Chesapeake, VA 23322-4215 |
| Gregory James Wcisel | Pulmonary Disease | Bayview Physician Services PC | 1168 1st Colonial Rd, Virginia Beach, VA 23454-2426 |
| Jessica Lynne Bernens | Family Medicine | Bayview Physician Services PC | 1419 Cedar Rd, Chesapeake, VA 23322-7492 |
| Benedict Ngwa | Nurse Practitioner | Bayview Physician Services PC | 3060 Godwin Blvd, Suffolk, VA 23434-8274 |
| Rana J Khan | Pulmonary Disease | Bayview Physician Services PC | 1008 1st Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 |
| Michael L Gambill | Cardiovascular Disease (cardiology) | Bayview Physician Services PC | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 |
| Street Address |
3235 BRIDGE RD SUITE 15 |
| City | SUFFOLK |
| State | VA |
| Zip | 23435-1780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen Cherop Serem | Family Medicine | Bayview Physician Services PC | 3235 Bridge Rd, Suite 15, Suffolk, VA 23435-1780 |
| Colleen G Meiser | Nurse Practitioner | Bayview Physician Services PC | 3235 Bridge Rd, Suite 15, Suffolk, VA 23435-1780 |
| Beatrice Mclaughlin | Nurse Practitioner | Bayview Physician Services PC | 3235 Bridge Rd, Suite 15, Suffolk, VA 23435-1780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth T Shearin | Chiropractic | Slone Chiropractic Clinic P.C. | 2469 Pruden Blvd, Suffolk, VA 23435 |
| Clarence George Clarke | Emergency Medicine | Quickcare Health Inc | 1013 University Blvd, Suite 270 280, Suffolk, VA 23435-0048 |
| Deanna Salyer | Physician Assistant | Quickcare Health Inc | 1013 University Blvd, Suite 270 280, Suffolk, VA 23435-0048 |
| Edward S Thur | Nurse Practitioner | Quickcare Health Inc | 1013 University Blvd, Suite 270 280, Suffolk, VA 23435-0048 |
| Laura Renee Pinkney | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Nicholas P Mancuso | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Kristen Zach | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Cassandra A Mccray | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Wendy Marie Curulla | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Jonathan M Byrne | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Find all physicians in zip 23435 | |||
| City | SUFFOLK |
| Zip Code | 23435 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SUFFOLK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Randall C Fedro.
| 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.