Randall B Rigdon LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME75248 Issued in FL

Legal business name

RANDALL B RIGDON LLC

Practice address

270 N Sykes Creek Pkwy
Suite 202
Merritt Island, FL 32953-3492

Phone

(321) 454-2468

Fax

(321) 454-2469

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Randall B. RigdonNPI 1396791455

Title

Physician

Phone

(321) 536-3634

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Brian Rigdon, MD

  • Internal Medicine Physician
  • Merritt Island, FL
  • NPI 1396791455
  Medicare reassignment NPD Authorized official
• Trisha Lorraine Beylin, APRN

  • Family Nurse Practitioner
  • Merritt Island, FL
  • NPI 1760909766
  Medicare reassignment NPD
• David E Martin

  • Family Nurse Practitioner
  • Merritt Island, FL
  • NPI 1861043648
  Medicare reassignment NPD
• Shannon L Kazman, NP

  • Nurse Practitioner
  • Merritt Island, FL
  • NPI 1205693801
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1982892501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N SYKES CREEK PKWY",
            "address_2": "SUITE 202",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533492",
            "telephone_number": "321-454-2468",
            "fax_number": "321-454-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N SYKES CREEK PKWY",
            "address_2": "SUITE 202",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533492",
            "telephone_number": "321-454-2468",
            "fax_number": "321-454-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL B RIGDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "RIGDON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-536-3634"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME75248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc (Publix Pharmacy #0893)
• Publix Super Markets Inc (Publix Pharmacy #0757)
• Nicole Danielle Pyles
• Mihai Radu, MD
• Rai Care Centers of Merritt Island, LLC (Rai - S. Courtenay - Merritt Island)
• Karen Rathgeber
• Anna Rittgers Ratkus, D.P.T.
• Raj M Rawal, B.D.S.
• Sundeep Raj Rawal, D.M.D.
• Robert C Rawls

• Primary Care Clinic/Center in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.