MR. RANDOLPH CHARLES FISH


Address: 915 So. 76th St., Tacoma, WA 98408-2902
Phone: 2535849530

MR. RANDOLPH CHARLES FISH (NPI# 1063493559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063493559
Entity Type Individual
Full Name MR. RANDOLPH CHARLES FISH
Credential D.P.M.
Practice Address 915 So. 76th St.
Tacoma
WA 98408-2902
Mailing Address 915 So. 76th St
Tacoma
WA 98408-2902
Practice Telephone 2535849530
Practice Fax Number 3604272769
Mailing Telephone 2535849530
Mailing Fax Number 3604272769
Enumeration Date 2005-11-10
Last Update Date 2016-04-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
91-1813864 WA Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
PO00000297 WA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2041490 05
WA 2041494 05

Office Location

Street Address 915 SO. 76TH ST.
City TACOMA
State WA
Zip Code 98408-2902

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053839597 Michael David Clifton Chiropractor 1702 South 72nd Street, Tacoma, WA 98408 2017-09-05
1417405630 Ashley Mae Grosso Licensed Practical Nurse 7011 S I St, Tacoma, WA 98408 2016-09-16
1568845188 Carolyn M Jacoby Social Worker 4850 S Thompson Ave, Tacoma, WA 98408 2015-06-30
1265844385 Kaitlyn Leigh Laube Ward Podiatrist 7808 Pacific Ave Ste 1, Tacoma, WA 98408 2014-05-22
1720315872 Holly A Roach Specialist 414 So. 54th St., Tacoma, WA 98408 2009-11-11
1831328731 Frederick Joseph Norrick Jr. Massage Therapist 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 2009-07-13
1528198264 Susan Joline Henricksen Massage Therapist 6618 So L St, Tacoma, WA 98408 2007-03-06
1043364565 Dawn Michelle Catlow Massage Therapist 6201 Pacific Avenue, Tacoma, WA 98408 2007-01-22
1538223227 Joshua Bleustar Counselor 860 South 54th St, Tacoma, WA 98408 2006-12-20
1235291055 Leonardo F Romero Chiropractor 7047 S D St., Ste. B, Tacoma, WA 98408 2006-12-15
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689732588 Hugh James Gorey Jr. Podiatrist 12001 Pacific Ave S., #204, Tacoma, WA 98444-5101 2006-12-04
1205846755 Mark A Alenick Podiatrist 5920 100th St Sw, Ste 11, Tacoma, WA 98499-2751 2006-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649708819 Theresa H.t. Nguyen Pllc Podiatrist 17530 Ne Union Hill Rd Ste 110, Redmond, WA 98052-3340 2017-05-31
1366749095 Rapha Clinics, Inc Podiatrist 1130 N 185th St Ste 202, Shoreline, WA 98133-4011 2011-02-15
1568673895 Victoria Kovacs Penfield Podiatrist 15717 136th Avenue Ct E, Puyallup, WA 98374-9688 2007-05-25
1922122811 Randall S. Fisher Podiatrist 8610 Eastview Ave, Everett, WA 98208-3516 2007-03-18
1134154032 Stephen Haggard Podiatrist 210 27th Ave Apt F105, Milton, WA 98354-8330 2006-07-11
1265470678 Broadway Foot & Ankle Ps Podiatrist 6625 W Crest View Loop Se, Snoqualmie, WA 98065-8912 2006-06-04
1982694501 Michael Aziz Mishalanie Podiatrist 401 S 43rd St, Suite 110, Renton, WA 98055-5404 2005-10-25
1942206891 Brent Barker Podiatrist 18007 Ne 26th St, Vancouver, WA 98684-0735 2005-06-24
1720083652 John Yohan Joo Podiatrist 1130 N 185th St, Suite 200, Shoreline, WA 98133-4011 2005-06-16
1356758668 Jerod Stanley Podiatrist 3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 2014-07-18
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Competitor

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City TACOMA
Zip Code 98408

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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