RANDALL JAMES LAW


Address: 1995 E 17th St, Idaho Falls, ID 83404-6493
Phone: 2085381999

RANDALL JAMES LAW (NPI# 1134647019) 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) 1134647019
Entity Type Individual
Full Name RANDALL JAMES LAW
Credential PA-C
Practice Address 1995 E 17th St
Idaho Falls
ID 83404-6493
Practice Telephone 2085381999
Mailing Telephone 2085381999
Mailing Fax Number 2088815295
Enumeration Date 2017-08-31
Last Update Date 2020-01-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1108 SD Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
30 Madison Professional Park, Rexburg, ID 834402058 2085381999

Office Location

Street Address 1995 E 17TH ST
City IDAHO FALLS
State ID
Zip Code 83404-6493

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295738797 Eric A Wingerson Internal Medicine 1995 E 17th St, St. #4, Idaho Falls, ID 83404-6493 2005-05-27
1609492347 Jason T Rinker Physician Assistant 1995 E 17th St, Idaho Falls, ID 83404-6493 2020-06-18
1942836911 Amerihealth Inc Psychologist 1995 E 17th St, Idaho Falls, ID 83404-6493 2020-03-20
1730652280 Brandy Lee Larson Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2019-01-08
1104320324 Daniel Joseph Barney Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2018-03-21
1962919662 Derek Richard Whitmill Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2018-01-03
1417498890 Kara Dee Boll Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2017-03-17
1932526373 Mountain Falls Medical LLC Nurse Practitioner 1995 E 17th St, Idaho Falls, ID 83404-6493 2014-03-24
1205179751 Jacob Wayne Moss General Practice 1995 E 17th St, Idaho Falls, ID 83404-6493 2013-04-03
1376852053 Kirsten A Davis Massage Therapist 1995 E 17th St, Suite 2, Idaho Falls, ID 83404-6493 2010-09-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
1235682121 Mountain Falls Quick Care Clinic/Center 1995 E 17th St #1, Idaho Falls, ID 83404 2016-07-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386743862 David Dean Buys Physician Assistant 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 2006-09-21
1316910797 Stephanie Morgan Physician Assistant 1660 John Adams Pkwy, Idaho Falls, ID 83401-4360 2006-02-08
1386626463 Wade K Christensen Physician Assistant 1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 2005-11-15
1851396519 Jamie L Carter Physician Assistant 3100 Channing Way, Idaho Falls, ID 83404-7533 2005-06-17
1609492347 Jason T Rinker Physician Assistant 1995 E 17th St, Idaho Falls, ID 83404-6493 2020-06-18
1821645870 Benjamin J Atwood Physician Assistant 3446 S 15th E, Idaho Falls, ID 83404-8262 2019-08-23
1144772237 Alyssa Jenkins Physician Assistant 3820 Crestwood Ln, Idaho Falls, ID 83404 2016-10-25
1093103699 Tara Powell Physician Assistant 2730 Channing Way, Idaho Falls, ID 83404-5049 2015-01-05
1235568742 Shelley Leilani Davis Physician Assistant 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 2013-11-05
1760724744 Kody Kurtis Tew Physician Assistant 2088 E 25th St, Idaho Falls, ID 83404-6490 2013-03-18
Find all providers in IDAHO FALLS

Competitor

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City IDAHO FALLS
Zip Code 83404

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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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