Yeidhit Cherenek Randall, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103320 Issued in FL

Practice address

18900 N Tamiami TRL
Suite 9
North Fort Myers, FL 33903-7312

Phone

(239) 567-1000

Fax

(239) 567-1008

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• Wellmed Medical Management of Florida Inc

  • Family Medicine Physician
  • Port St Lucie, FL
  • NPI 1033395397
  Medicare reassignment
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1982762522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18900 N TAMIAMI TRL",
            "address_2": "SUITE 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037312",
            "telephone_number": "239-567-1000",
            "fax_number": "239-567-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 N TAMIAMI TRL",
            "address_2": "SUITE 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037312",
            "telephone_number": "239-567-1000",
            "fax_number": "239-567-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERENEK RANDALL",
        "first_name": "YEIDHIT",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careway Healthcare Staffing LLC
• Gabriel Jose Caridad
• Cassidy Pascher Chiropractic LLC
• Yashira Linnette Cerda Guerrero, FNP-C
• Char Dumais Ap, Dom Inc (The Healing Point)
• Alfred W Choi, D.D.S.
• Sidney H Christie, DMD
• Claims Solutions Group LLC (Lucky Solutions)
• Clearpath Health & Wellness, LLC
• Coast Florida P.a. (Coast Dental-North Fort Myers)

• Physician Assistant in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.

Verify at the official NPI Registry.