Gerald G. Randolph, M.D., Inc., P.S.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD00010827 Issued in WA

Legal business name

GERALD G. RANDOLPH, M.D., INC., P.S.

Practice address

406 Yauger Way SW
Suite B
Olympia, WA 98502-8151

Phone

(206) 575-2875

Fax

(206) 575-2874

NPI assigned

Apr 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gerald Guy Randolph, M.D.

Title

President

Phone

(877) 368-3926

Specialties & licenses 1

Addresses

Other names 1

• Sound ENT Consultants Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1013131374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 YAUGER WAY SW",
            "address_2": "SUITE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028151",
            "telephone_number": "877-368-3926",
            "fax_number": "206-575-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 YAUGER WAY SW",
            "address_2": "SUITE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028151",
            "telephone_number": "206-575-2875",
            "fax_number": "206-575-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD G. RANDOLPH, M.D., INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-368-3926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00010827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound ENT Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genuine Healthcare TMS LLC
• Genuine Healthcare, PLLC
• Nicole Rene George, NCC, LMHC-A
• Samantha Marie George
• Hannah Cayman Geraghty, LMHCA
• David D Gerardot
• Sarah Gerber-Kai
• Casondra Myree Gerlich, CD(DONA)
• Donna German, RN
• Sheri Mila Gerson, PHD

• Medical Specialty Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.