Michael Shane Randolph in Somerset - Family Medicine
Michael Shane Randolph - NPI 1023111010
Michael Shane Randolph is a Family Medicine in Somerset, Kentucky. Michael Shane Randolph practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Shane Randolph is 1023111010. The last update date is 2007-07-08.
Michael Shane Randolph's current location address is 104 Hardin Ln, Somerset, Kentucky. You can contact this provider via phone number 6066760786. The mailing address for Michael Shane Randolph is 104 Hardin Ln, Somerset, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Shane Randolph |
|---|---|
| Address | 104 Hardin Ln, Somerset, Kentucky |
| Phone Number | 6066760786 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023111010 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 104 Hardin Ln |
|---|---|
| City | Somerset |
| State | Kentucky (KY) |
| Post Code | 425033800 |
| Phone Number | 6066760786 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 33885 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Michael Shane Randolph?
The Michael Shane Randolph has been issued the NPI (National Provider Identifier) 1023111010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Michael Shane Randolph?
The Michael Shane Randolph is situated at 104 Hardin Ln, in the city of Somerset, state of KY, with the zip code 425033800.
What is Michael Shane Randolph's area of expertise and its corresponding taxonomy classification?
The Michael Shane Randolph's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Michael Shane Randolph receive its 1023111010 assignment from the Centers for Medicare & Medicaid Services?
The Michael Shane Randolph was assigned its 1023111010 by the Centers for Medicare & Medicaid Services on 2006-09-06.
When was the information pertaining to Michael Shane Randolph most recently updated or revised?
The details related to Michael Shane Randolph, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.