Randour Chiropractic Clinic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009323 Issued in PA

Legal business name

RANDOUR CHIROPRACTIC CLINIC P.C.

Practice address

1100 Washington Ave
Ste. 100
Carnegie, PA 15106-3614

Phone

(412) 279-4040

Fax

(412) 279-4041

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Lloyd Goodge IV, DC

Title

Vice President

Phone

(412) 279-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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

• James Lloyd Goodge IV, DC

  • Chiropractor
  • MC Donald, PA
  • NPI 1881625192
  Medicare reassignment Care Compare group NPD
• Donald Adam Robison, D.C.

  • Chiropractor
  • Carnegie, PA
  • NPI 1972782761
  Medicare reassignment Care Compare group NPD
• James Lloyd Goodge III, DC

  • Chiropractor
  • Carnegie, PA
  • NPI 1427083575
  Medicare reassignment NPD
• David Louis Randour, DC

  • Chiropractor
  • MC Donald, PA
  • NPI 1336174473
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1497848642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON AVE",
            "address_2": "STE. 100",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151063614",
            "telephone_number": "412-279-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON AVE",
            "address_2": "STE. 100",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151063614",
            "telephone_number": "412-279-4040",
            "fax_number": "412-279-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOUR CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "GOODGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "412-279-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER ID- MEDICARE",
            "identifier": "1914315",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David John Presutti, DMD
• Lester Otto Prince, M.D.
• Amira Quarles, CRNP
• Melanie Beth Radi, PHARMD
• Caitlin Raftis
• Linda Reh, CRNP
• Rehab Specialists, Inc
• Rehab Specialists, Inc
• Rehab Specialists, Inc.
• Rehab Specialists, Inc.

• Chiropractor in Carnegie, PA
• Providers in Carnegie, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.