Randall A Stroup, P.A.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0001549 Issued in MD

Practice address

500 Greene St
Cumberland, MD 21502-2755

Phone

(301) 724-7616

Fax

(301) 724-4811

NPI assigned

Aug 17, 2005

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

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

George Washington University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Physicians of Garrett County, LLCGroup PAC ID 5698082436, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randallstrouppac@childrensm.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Specialty Physicians of Garrett County, LLC

  • Obstetrics & Gynecology Physician
  • Oakland, MD
  • NPI 1265819866
  Medicare reassignment Care Compare group NPD (past)
• Children'S Medical Group, P.a.

  • Specialist
  • Cumberland, MD
  • NPI 1528165750
  Medicare reassignment
• Specialty Physicians of Garrett County, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakland, MD
  • NPI 1225707532
  NPD

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1275525164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022755",
            "telephone_number": "301-724-7616",
            "fax_number": "301-724-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022755",
            "telephone_number": "301-724-7616",
            "fax_number": "301-724-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "RANDALL",
        "middle_name": "A",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Stoner, PH.D.
• Stoneybrook Community Counseling
• Robin A Storms, LCSW-C
• Michelle Lee Stottlemyer, COTA/L
• Howard Robert Strauss, DDS
• Joseph George Strozykowski, DDS
• Christine Marie Sturtz, CRNA
• Yogesh Subedi, MD
• John Sulek, CRNA
• Summit Rehabilitation LLC

• Physician Assistant in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.