Active NPI
Anthony Randolph, D.O., PHARM.D.
- General Practice Physician
- Erie, PA
National Provider Identifier
1831534189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS017420
- Practice address
- 706 Hickory Hill Blvd
Erie, PA 16509-3314 - Phone
- (814) 418-2186
- NPI assigned
- Apr 30, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS017420 | PA | |
| General Practice Physician | 208D00000X | OS017420 | PA | Primary |
Addresses
Primary practice location
706 Hickory Hill Blvd
Erie, PA 16509-3314
Mailing address
706 Hickory Hill Blvd
Erie, PA 16509-3314
Phone (814) 418-2186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS017420 | PA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care P.a . | Current | Accepting new patients | |
| Meadville Physician Services | Internal Medicine | Past | Accepting new patients |
Locations
6301 Grayson Rd
Harrisburg, PA 17111
Phone (717) 561-2658
2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755
15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Interoperability endpoints
- arandolph@fcim.gwaydirect.com
- ms_arando18@landmarkhealth-direct.org
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Carlisle, PA
- NPI 1386122828
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Multi-Specialty Clinic/Center
- Meadville, PA
- NPI 1619236056
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1831534189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 HICKORY HILL BLVD",
"city": "ERIE",
"state": "PA",
"postal_code": "165093314",
"telephone_number": "814-418-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 HICKORY HILL BLVD",
"city": "ERIE",
"state": "PA",
"postal_code": "165093314",
"telephone_number": "814-418-2186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.O., PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS017420",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "OS017420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.