| Dr William Thoburn Randazzo, MD | |
|
9 Highgate W, Augusta, GA 30909-3109 | |
| (208) 416-2932 | |
| (855) 673-9190 |
| Full Name | Dr William Thoburn Randazzo |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 9 Highgate W, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881915346 | NPI | - | NPPES |
| 003215681 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101257809 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 081756 (Georgia) | Primary |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20091002000044 |
| Entity Name | Oroville Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710372909 PECOS PAC ID: 1254234339 Enrollment ID: O20160425000880 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Thoburn Randazzo, MD 22100 Bothell Everett Hwy, Bothell, WA 98021-8431 Ph: (208) 416-2932 | Dr William Thoburn Randazzo, MD 9 Highgate W, Augusta, GA 30909-3109 Ph: (208) 416-2932 |
Michael A Winkler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Jagadishwar Devkota, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 Winged Foot Dr, Augusta, GA 30907 Phone: 706-414-8235 Fax: 706-364-2606 | |
Paul N. Karmin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9729 Fax: 706-721-8507 | |
Juhi Bansal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. William Bruce Tannehill, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 630 13th St, Suite 250, Augusta, GA 30901 Phone: 706-724-2500 Fax: 706-823-5928 | |
Dr. Kandace Rhea Klein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Ba-1411, Augusta, GA 30912 Phone: 706-721-3233 | |
Dr. Corey Garvin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 352-286-9383 |