Malcolm Randal VA Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

RN9219832 Issued in FL

Legal business name

MALCOLM RANDAL VA MEDICAL CENTER

Practice address

1601 SW Archer Rd
Gainesville, FL 32608-1135

Phone

(352) 376-1611

NPI assigned

Feb 14, 2013

Last updated

Feb 14, 2013By 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

Sherrie D'Anne Benjamin, R.N.

Title

Staff Nurse

Phone

(352) 281-6967

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1801135629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-376-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-376-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM RANDAL VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "D'ANNE",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "352-281-6967",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "RN9219832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Makkinejad, MD
• Shannon Eileen Katilus Makovic, DNP, ARNP, NNP-BC
• Toree H Malasanos, MD
• Irene Andonia C Malaty, MD
• John Z Malaty, MD
• Malcolm Randall Vamc
• Tamelia Malcolm, MS
• Malcom Randal VA Medical Center
• Malcom Randall VA Medical Center
• Malcom Randall Vamc

• General Acute Care Hospital in Gainesville, FL
• Providers in Gainesville, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.