Active NPI
Randy R Zolman, D.C.
- Chiropractor
- Quincy, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002703
- Practice address
- 210 G St SE
Quincy, WA 98848-1556 - Phone
- (509) 787-1918
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002703 | WA | Primary |
Addresses
Primary practice location
210 G St SE
Quincy, WA 98848-1556
Mailing address
210 G St SE
Quincy, WA 98848-1556
Phone (509) 787-1918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304703 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10171 Chumstick Hwy
Suite 1
Leavenworth, WA 98826-8762
Phone (509) 548-3133
603 N Mission St
Wenatchee, WA 98801-2049
Phone (509) 884-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002703 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iroc PS | Chiropractor | Current | Accepting new patients |
| Mt. Stuart P.T., P.S. | Current | Accepting new patients | |
| Zolman Chiropractic Clinic PLLC | Chiropractor | Current | Accepting new patients |
| E & H Holdings, LLC | Past | Accepting new patients |
Locations
10171 Chumstick Hwy
Ste 1
Leavenworth, WA 98826
Phone (509) 548-3133
110 C St SW
Quincy, WA 98848
Phone (509) 787-1918
210 G St SE
Quincy, WA 98848
Phone (509) 787-1918
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Quincy Valley Medical Center | Rural health clinic | Corporate Director | Jan 1, 2010 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Quincy Valley Medical Center
- Rural Health Clinic/Center
- Quincy, WA
- NPI 1407920218
Corporate Director
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Latimer Integrative Chiropractic & Rehab
- Sports Physician Chiropractor
- Wenatchee, WA
- NPI 1235256918
-
- Physical Therapist
- Leavenworth, WA
- NPI 1295805737
-
dba New Start Clinics
- Addiction Medicine (Family Medicine) Physician
- Moses Lake, WA
- NPI 1962928200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629007935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 G ST SE",
"city": "QUINCY",
"state": "WA",
"postal_code": "988481556",
"telephone_number": "509-787-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 G ST SE",
"city": "QUINCY",
"state": "WA",
"postal_code": "988481556",
"telephone_number": "509-787-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLMAN",
"first_name": "RANDY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304703",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.