NPIMap

Organization Active NPI

Randolph Specialty Group Practice

Doing business as Randolph Health Internal Medicine Dr. Douglas Schultz

  • Internal Medicine Physician
  • Asheboro, NC
National Provider Identifier
1740459536
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RANDOLPH SPECIALTY GROUP PRACTICE
Doing business as
Randolph Health Internal Medicine Dr. Douglas Schultz
Practice address
237 N Fayetteville St
Suite D
Asheboro, NC 27203-5572
Phone
(336) 625-2961
Fax
(336) 625-6573
NPI assigned
Feb 26, 2008
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Robert Scott Clauser
Title
Executive Director
Phone
(336) 625-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

237 N Fayetteville St
Suite D
Asheboro, NC 27203-5572

Mailing address

PO Box 5418
Asheboro, NC 27204-5418
Phone (336) 625-2333

Other identifiers 2

IdentifierTypeStateIssuer
5909111MedicaidNC
0248ROtherNCBCBS

Other names 1

  • Randolph Health Internal Medicine Dr. Douglas Schultz Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Randolph Health Family Practice5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1740459536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5418",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272045418",
            "telephone_number": "336-625-2333",
            "fax_number": "336-625-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N FAYETTEVILLE ST",
            "address_2": "SUITE D",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035572",
            "telephone_number": "336-625-2961",
            "fax_number": "336-625-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH SPECIALTY GROUP PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "CLAUSER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-625-2333"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909111",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0248R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph Health Internal Medicine Dr. Douglas Schultz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.