Derrick Wade Randall in Charlotte - Anesthesiology
Derrick Wade Randall - NPI 1699766758
Derrick Wade Randall is a Anesthesiology in Charlotte, North Carolina. Derrick Wade Randall practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Derrick Wade Randall is 1699766758. The last update date is 2020-09-04.
Derrick Wade Randall's current location address is Po Box 751649, Charlotte, North Carolina. You can contact this provider via phone number 8437891620 and fax number 8437242440. The mailing address for Derrick Wade Randall is Po Box 751649, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Wade Randall |
|---|---|
| Address | Po Box 751649, Charlotte, North Carolina |
| Phone Number | 8437891620 |
| Fax Number | 8437242440 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699766758 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2020-09-04 |
Provider Mailing Address Detail
| Address | Po Box 751649 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282751649 |
| Phone Number | 8437891620 |
| Fax Number | 8437242440 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 19659 |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19659 | SC | SC LICENSE | |
| 196594 | SC | -- | |
| 000915967B | GA | -- |
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What is the unique identification code assigned to Derrick Wade Randall by the Centers for Medicare & Medicaid Services?
The Derrick Wade Randall has been issued the NPI (National Provider Identifier) 1699766758. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Derrick Wade Randall located?
The Derrick Wade Randall is located at Po Box 751649, Charlotte, NC 282751649.
What is Derrick Wade Randall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derrick Wade Randall is Anesthesiology, and the taxonomy code that classifies this field of practice is 207L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699766758 to Derrick Wade Randall?
The Centers for Medicare & Medicaid Services originally issued the 1699766758 to Derrick Wade Randall on 2005-10-28.
As of what date were the Derrick Wade Randall's details last updated?
The information pertaining to the Derrick Wade Randall, including its address, specialty, and other details, was most recently updated on 2020-09-04.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY