| Randolph Internal Medicine Associates | |
|
3030 Randolph Rd Ste 200 Charlotte NC 28211-1368 | |
| (704) 512-5000 | |
| Not Available |
| Full Name | Randolph Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 3030 Randolph Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
| Authorized Official Contact | 7043558675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Internal Medicine Associates Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Randolph Internal Medicine Associates 3030 Randolph Rd Ste 200 Charlotte NC 28211-1368 Ph: (704) 512-5000 |
| NPI Number | 1689604340 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 03/09/2023 |
| Medicare PECOS PAC ID | 4880682160 |
|---|---|
| Medicare Enrollment ID | O20040505000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689604340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian P Kersten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437177474 PECOS PAC ID: 0042201444 Enrollment ID: I20040524000741 |
| Provider Name | Susan M Stephen Lester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073513388 PECOS PAC ID: 5799759825 Enrollment ID: I20050822000188 |
| Provider Name | Daniel S Senft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437175890 PECOS PAC ID: 2365474228 Enrollment ID: I20050831000688 |
| Provider Name | Kimberly N Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013979228 PECOS PAC ID: 6406878768 Enrollment ID: I20051229000739 |
| Provider Name | Gregory V Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700810488 PECOS PAC ID: 8224217757 Enrollment ID: I20110128000846 |
| Provider Name | Murray Baxter Craven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649200940 PECOS PAC ID: 2163604364 Enrollment ID: I20110309000590 |
| Provider Name | Beth S Tarkington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336126770 PECOS PAC ID: 3779684915 Enrollment ID: I20140806001977 |
| Provider Name | Adrian D Hurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629363619 PECOS PAC ID: 5496987133 Enrollment ID: I20141209001356 |
| Provider Name | Richard James Botelho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508801374 PECOS PAC ID: 7911083977 Enrollment ID: I20151229000610 |
| Provider Name | Youssef Siage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346386190 PECOS PAC ID: 9739288671 Enrollment ID: I20160411002363 |
| Provider Name | Blake B Goodbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740676543 PECOS PAC ID: 8527336726 Enrollment ID: I20181019002031 |
| Provider Name | Emily M Manlove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437411188 PECOS PAC ID: 9133370653 Enrollment ID: I20230601001359 |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Atrium Health Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954 |