Randolph Radiological Assoc Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

39346 Issued in NC

Legal business name

RANDOLPH RADIOLOGICAL ASSOC INC

Practice address

364 White Oak St
Asheboro, NC 27203-5434

Phone

(336) 629-6565

Fax

(336) 626-5640

NPI assigned

Feb 23, 2006

Last updated

Aug 22, 2020By 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

Emily McNeill Ledwell

Title

Business Manager

Phone

(336) 629-6565

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 8

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.

• Paul Kevin Hiatt, MD

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1356342893
  NPD (past)
• Ricky Duane Lyerly, MD

  • Diagnostic Radiology Physician
  • Asheboro, NC
  • NPI 1891796330
  NPD (past)
• Liviu E Pop, MD

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1700887247
  NPD (past)
• Randall Scott Teague, MD

  • Diagnostic Radiology Physician
  • Asheboro, NC
  • NPI 1538160072
  NPD (past)
• David Goodwin Williams, MD

  • Diagnostic Radiology Physician
  • Asheboro, NC
  • NPI 1568463735
  NPD (past)
• Linda L Willis, MD

  • Diagnostic Ultrasound Physician
  • Rocky Mount, NC
  • NPI 1093716839
  NPD (past)
• Paul Donald Cole, MD

  • Diagnostic Radiology Physician
  • Eglin AFB, FL
  • NPI 1184663890

  Specialist

  NPD (past)
• Titus R. Koenig, MD

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
  • NPI 1932283934
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811963556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272041430",
            "telephone_number": "336-629-6565",
            "fax_number": "336-626-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035434",
            "telephone_number": "336-629-6565",
            "fax_number": "336-626-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH RADIOLOGICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDWELL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MCNEILL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "336-629-6565"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "39346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902504",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2504",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph Hospital, Inc. (Randolph Health Home Health)
• Randolph Juvenile Day Reporting Center
• Randolph Primary Care, PA
• Randolph Pulmonary & Sleep Clinic, PLLC
• Randolph Pulmonary and Sleep Clinic PLLC
• Randolph Specialty Group Practice (Randolph Health Gastroenterology)
• Randolph Specialty Group Practice (Randolph Health Deep River Physical Therapy)
• Randolph Specialty Group Practice (Randolph Health Physical Therapy & Sports Medicine)
• Randolph Specialty Group Practice (Central Carolina Surgery)
• Randolph Specialty Group Practice (Randolph Health Endoscopy Center)

• Specialist in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.