Donald a Randolph, Jr., MD, PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

M1307 Issued in TX

Legal business name

DONALD A RANDOLPH, JR., MD, PA

Practice address

1015 N Carroll Ave
#2000
Dallas, TX 75204-6604

Phone

(214) 824-7744

Fax

(214) 824-7755

NPI assigned

Aug 13, 2007

Last updated

Apr 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald A Randolph Jr., M.D.

Title

Director

Phone

(214) 824-7744

Specialties & licenses 1

Addresses

Other names 1

• Donald A. Randolph, Jr., M.D., P.A. Other name

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1588856728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N CARROLL AVE",
            "address_2": "#2000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046604",
            "telephone_number": "214-824-7744",
            "fax_number": "214-824-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N CARROLL AVE",
            "address_2": "#2000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046604",
            "telephone_number": "214-824-7744",
            "fax_number": "214-824-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD A RANDOLPH, JR., MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-824-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "M1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald A. Randolph, Jr., M.D., P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neddy Pauline Dommer, LMFT
• Kaitlyn Estes Domning, MD
• Don Buford Jr MD PA
• Erin K Donaho, ANP
• Elizabeth Michelle Donahue, CRNA
• Donald M Mauldin, MD, Assoc
• Donald Ozumba MD PA
• Donald Stiles Counseling, PLLC
• Angeela Marie Donald
• Johnneshia Donald, CTRS

• Sports Medicine (Orthopaedic Surgery) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.