DR. RPH, MD John K Randall, NPI 1326076530
MOHS-Micrographic Surgery Physician in West Lafayette, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1326076530
NPI Entity Type Individual
Provider Name DR. RPH, MD John K Randall
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 124 Sagamore Pkwy W, West Lafayette, IN, US
Provider Mailing Address 124 Sagamore Pkwy W, West Lafayette, IN, US, 479061569
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207ND0101X

Taxonomy Name MOHS-Micrographic Surgery Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. 01042716
License State IN
Description The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Business Address

DR. RPH, MD John K Randall
124 Sagamore Pkwy W

West Lafayette, IN, US

Phone: 765-463-6722
Fax: 765-463-0905

Mailing Address

DR. RPH, MD John K Randall
124 Sagamore Pkwy W
West Lafayette, IN, US
ZIP 479061569
Phone: 765-463-6722
Fax: 765-463-0905

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

01042716 IN No

207ND0900X

Allopathic & Osteopathic Physicians

Dermatology

01042716 IN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000000092649 IN BCBS 01
01042716 IN LICENSE 01
200207110A IN MEDICAID 05
100415730A IN MEDICAID 05
01042716B IN CSR 01
BR1531385 DEA 01

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Kelcie Marie Small

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