Randolph L Rodrigue, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

15777 Issued in SC

Practice address

170 Amendment Ave
Rock Hill, SC 29732

Phone

(803) 324-7607

Fax

(803) 324-1449

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1104880095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AMENDMENT AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-324-7607",
            "fax_number": "803-324-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AMENDMENT AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-324-7607",
            "fax_number": "803-324-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUE",
        "first_name": "RANDOLPH",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "15777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PL0664",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL5901",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rock Hill Treatment Specialists, Inc
• Rock Hill VA
• Andrea Rock, RBT
• David Kyle Rockholt, PHARM.D.
• Rocky Mountain Holdings LLC
• Charles Lindy Rogers
• Rachel A. Rogers, THERAPIST
• Robin Mitchell Rogers, M.C.D.
• Salem Rogers
• Rajesh Rohilla, MD

• Gastroenterology Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Gastroenterology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.