Active NPI
William Thoburn Randazzo, M.D.
- Diagnostic Radiology Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 081756
- Practice address
- 9 Highgate W
Augusta, GA 30909-3109 - Phone
- (208) 416-2932
- Fax
- (855) 673-9190
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101257809 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 081756 | GA | Primary |
Addresses
Primary practice location
9 Highgate W
Augusta, GA 30909-3109
Mailing address
22100 Bothell Everett Hwy
Bothell, WA 98021-8431
Phone (208) 416-2932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003215681 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, SC, GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Pennsylvania State University College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9 Highgate W
Augusta, GA 30909-3109
Phone (469) 757-1042
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101257809 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Family Medicine | Current | Accepting new patients |
| Oroville Hospital | Current | Accepting new patients | |
| Medical Imaging Associates of Idaho Falls, Inc | Diagnostic Radiology | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Simi Radiology and Imaging Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Tennessee Valley Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Cumberland Imaging Associates, PC | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| West Virginia Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Focus Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| CMSC, LLC | Current | Accepting new patients | |
| White Mountain Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Acadiana Radiology Group | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Tazewell Community Hospital | Current | Accepting new patients | |
| Eastern Radiological Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Jason L Hwang MD Inc | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Rockbridge Community Hospital | Current | Accepting new patients | |
| Intercity Radiology, PC | Current | Accepting new patients | |
| Winchester Radiologists PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Coquille Valley Hospital District | Past | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients | |
| Northeast Hospital Corporation | Past | Accepting new patients | |
| Focus Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
| MCHS Hospitals Inc | Past | Accepting new patients |
Locations (25 of 28)
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
1839 N Government Way
Ste B
Coeur D Alene, ID 83814
Phone 20844919312
3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021
118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466
4811 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 237-8119
4809 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 981-2949
2311 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775
539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128
2900 12th Ave N
Ste 4E
Billings, MT 59101
Phone (406) 245-6378
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
1648 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 556-4649
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
900 W Ash St
Deming, NM 88030
Phone (505) 546-2761
104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500
608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531
504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585
1010 N Mill St
Bowie, TX 76230
Phone (817) 872-1121
303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251
1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150
110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276
1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712
605 N Maple St
Muenster, TX 76252
Phone (940) 759-2271
4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441
Interoperability endpoints
- wrandazzo1192673@carolinashealthcaresystem.direct-ci.com
- wrandazzo3083820@direct.bsmhealth.org
Organizations & group practices 36
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.
-
dba Northern Light Radiology Associates
- Diagnostic Radiology Physician
- Charleston, WV
- NPI 1093550915
GA
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
GA
-
dba Hopi Health Care Center
- Critical Access Hospital
- Polacca, AZ
- NPI 1356628028
Family Medicine, TX
-
dba Whiteriver Indian Hospital
- General Acute Care Hospital
- Whiteriver, AZ
- NPI 1427335140
TX
-
dba Yellowstone Vein Center
- Diagnostic Ultrasound Physician
- Billings, MT
- NPI 1639102171
Diagnostic Radiology, GA
-
- Diagnostic Radiology Physician
- Pocatello, ID
- NPI 1740225531
GA
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ronceverte, WV
- NPI 1679299408
-
- Critical Access Hospital
- Oak Hill, WV
- NPI 1285340877
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1427904002
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1508712118
-
- Rehabilitation Hospital Unit
- Charleston, WV
- NPI 1639168693
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1689520264
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1932055589
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
dba CAMC Pharmacy #3
- Community/Retail Pharmacy
- Charleston, WV
- NPI 1134518186
Hospital
-
dba CAMC GVMC Physician Department
- Hospitalist Physician
- Ronceverte, WV
- NPI 1972125995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1881915346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22100 BOTHELL EVERETT HWY",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980218431",
"telephone_number": "208-416-2932",
"fax_number": "855-673-9190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HIGHGATE W",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309093109",
"telephone_number": "208-416-2932",
"fax_number": "855-673-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDAZZO",
"first_name": "WILLIAM",
"middle_name": "THOBURN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101257809",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "081756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003215681",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.
- 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.