Randall James Krystosek in Evansville - Colon & Rectal Surgery
Randall James Krystosek - NPI 1083612006
Randall James Krystosek is a Colon & Rectal Surgery in Evansville, Indiana. Randall James Krystosek practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Randall James Krystosek is 1083612006. The last update date is 2007-07-09.
Randall James Krystosek's current location address is 801 Saint Marys Dr W, Evansville, Indiana. You can contact this provider via phone number 8124779241 and fax number 8124746708. The mailing address for Randall James Krystosek is 801 Saint Marys Dr W, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall James Krystosek |
|---|---|
| Address | 801 Saint Marys Dr W, Evansville, Indiana |
| Phone Number | 8124779241 |
| Fax Number | 8124746708 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083612006 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 801 Saint Marys Dr W |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477140512 |
| Phone Number | 8124779241 |
| Fax Number | 8124746708 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 1028039A |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64755499 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Randall James Krystosek by the Centers for Medicare & Medicaid Services (CMS)?
The Randall James Krystosek has been assigned the NPI (National Provider Identifier) 1083612006. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Randall James Krystosek?
The Randall James Krystosek is situated at 801 Saint Marys Dr W, in the city of Evansville, state of IN, with the zip code 477140512.
What is Randall James Krystosek's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall James Krystosek's specialized field of practice is Colon & Rectal Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208C00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083612006 to Randall James Krystosek?
The Centers for Medicare & Medicaid Services assigned the 1083612006 to Randall James Krystosek on 2005-07-13.
As of what date were the details pertaining to Randall James Krystosek last refreshed?
The information related to the Randall James Krystosek, including its address, specialty, and other relevant details, was last updated on 2007-07-09.