RANDOLPH L. RODRIGUE MD – NPI #1104880095
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

RANDOLPH RODRIGUE is a physician located in ROCK HILL, SC. NPPES has assigned the NPI number 1104880095 to RANDOLPH RODRIGUE on April 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 15 years ago on Jun 10, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDOLPH RODRIGUE below.

NPI Profile for
RANDOLPH L. RODRIGUE

NPI Number
1104880095
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDOLPH L. RODRIGUE
Credentials
MD
Primary location
170 AMENDMENT AVE
ROCK HILL, SC 29732
Phone: (803) 324-7607 Fax: (803) 324-1449
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for RANDOLPH RODRIGUE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCPL0664
MEDICAIDSCTL5901
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
SC 15777

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.