Gregory E. Randolph in Gladbrook - Physician Assistant
Gregory E. Randolph - NPI 1912949124
Gregory E. Randolph is a Physician Assistant in Gladbrook, Iowa. Gregory E. Randolph practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregory E. Randolph is 1912949124. The last update date is 2007-07-16.
Gregory E. Randolph's current location address is 309 2nd St, Gladbrook, Iowa. You can contact this provider via phone number 6414732707 and fax number 6414732641. The mailing address for Gregory E. Randolph is 309 2nd St, Gladbrook, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory E. Randolph |
|---|---|
| Address | 309 2nd St, Gladbrook, Iowa |
| Phone Number | 6414732707 |
| Fax Number | 6414732641 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1912949124 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 309 2nd St |
|---|---|
| City | Gladbrook |
| State | Iowa (IA) |
| Post Code | 50635 |
| Phone Number | 6414732707 |
| Fax Number | 6414732641 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 693 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Gregory E. Randolph by the Centers for Medicare & Medicaid Services?
The Gregory E. Randolph has been issued the NPI (National Provider Identifier) 1912949124 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
What is Gregory E. Randolph's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory E. Randolph's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Gregory E. Randolph's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory E. Randolph is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912949124 to Gregory E. Randolph?
The Centers for Medicare & Medicaid Services assigned the 1912949124 to Gregory E. Randolph on 2006-06-12.
As of what date was the information regarding Gregory E. Randolph, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory E. Randolph, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-16.