Michael a. Randolph, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0034680 Issued in MD

Legal business name

MICHAEL A. RANDOLPH, MD PC

Practice address

200 E 33Rd St
Suite 136
Baltimore, MD 21218-3322

Phone

(410) 261-8997

Fax

(410) 337-0385

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Randolph, M.D.NPI 1215095203

Title

Owner

Phone

(410) 261-8977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Anthony Randolph, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1215095203

  Internal Medicine, MD

  Medicare reassignment NPD Authorized official
• Marsha Guilford Davenport, MD

  • Public Health & General Preventive Medicine Physician
  • Baltimore, MD
  • NPI 1831637131
  NPD (past)
• Craig Anthony Watkins, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1740302702

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1225211360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "SUITE 136",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-261-8997",
            "fax_number": "410-337-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "SUITE 136",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-261-8997",
            "fax_number": "410-337-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. RANDOLPH, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-261-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0034680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamshid Saeed Mian, MD
• Memoona Mian, MD
• Malkiel Miara
• Mib Partnership LLP
• Shien Tsui Liu Micchelli, M.D.
• Michael B. Freedman PHD
• Michael C. Collins, D.M.D., P.a.
• Michael G Pharris OD PC
• Michael G Pharris OD PC
• Michael G. Hayes, M.D.PA

• All providers in Baltimore, MD
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.