RICHARD LINDELL RANDOL MD NPI 1366541435

NPI Information

NPI: 1366541435
Provider Name: RICHARD LINDELL RANDOL, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PRISMA HEALTH UNIVERSITY MEDICAL GROUP

PECOS Registration: Yes

Address:
701 GROVE RD
ER ADMINISTRATION
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-6372
Get Directions

Richard Lindell Randol, MD is a family medicine in Greenville, SC with 23 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Richard Lindell Randol, MD NPI is 1366541435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

701 GROVE RD
ER ADMINISTRATION
GREENVILLE, SC
ZIP 29605-611
Phone: (864) 455-6372

The NPI 1366541435 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 3/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		26852	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20034153	OTHER	SOUTH CAROLINA	SELECT HEALTH
2	268524	MEDICAID	SOUTH CAROLINA
3	576007863	OTHER	SOUTH CAROLINA	TRICARE
4	P00153183	OTHER	SOUTH CAROLINA	MEDICARE RAILROAD
5	I04563	MEDICARE UPIN	SOUTH CAROLINA
6	576007863	OTHER	SOUTH CAROLINA	BLUE CHOICE
7	BR8289488	OTHER	SOUTH CAROLINA	FEDERAL DEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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