DR. DAVID R RANDALL (NPI# 1710976535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710976535 |
| Entity Type | Individual |
| Full Name | DR. DAVID R RANDALL |
| Credential | DPM |
| Practice Address |
4100 Lake Otis Pky Ste 312 Anchorage AK 99508-5231 |
| Mailing Address |
4100 Lake Otis Pkwy Ste 312 Anchorage AK 99508-5231 |
| Practice Telephone | 9184583100 |
| Practice Fax Number | 9184587672 |
| Mailing Telephone | 9075693668 |
| Mailing Fax Number | 9075693669 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2012-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 7269 | AK | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 246 | OK | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952842742 | David Charles Randall | Physical Therapist | 527 Avenue B, Melbourne Beach, FL 32951-2216 | 2017-03-14 |
| 1821327719 | David Michael Randall | Psychologist | 40 Halili Ln Apt 4f, Kihei, HI 96753-6070 | 2009-12-23 |
| 1710019054 | David John Randall | Dentist | 818 Braden Avenue, Chariton, IA 50049 | 2007-03-12 |
| 1003977109 | David W Randall | Psychologist | 41 Woodcliffe Rd, Lexington, MA 02421-7833 | 2006-12-12 |
| 1982609954 | David Crow Randall | Specialist | 12930 East Fwy, Houston, TX 77015-5710 | 2005-06-16 |
| 1346564150 | David E Randall | Behavioral Analyst | 1500 Franklin St, San Francisco, CA 94109-4523 | 2010-03-23 |
| 1568521441 | David Paul Randall | Psychiatry & Neurology | 2100 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1301 | 2006-12-07 |
| 1366438426 | David Awrey Randall | Specialist | 960 E Walnut Lawn St, Ferrell-duncan Clinic Ent, Springfield, MO 65807-7506 | 2005-09-23 |
| Street Address |
4100 LAKE OTIS PKY STE 312 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700011897 | Alaska Native Tribal Health Consortium | Podiatrist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2009-05-19 |
| 1982740668 | Mark C Rindlisbacher | Podiatrist | 800 E Dimond Blvd, Suite 3-417, Anchorage, AK 99515-2061 | 2007-01-29 |
| 1982716387 | Bruce Alan Reddish | Podiatrist | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265562623 | Traveling Foot Doctor, P.C. | Podiatrist | 22434 Eagle Glacier Loop, P.o. B. 772394-2394, Eagle River, AK 99577-9531 | 2007-03-06 |
| 1699862391 | Southeast Foot & Ankle Center Inc | Podiatrist | 7691 Glacier Hwy, Juneau, AK 99801 | 2006-10-06 |
| 1023083870 | Manx Quayle | Podiatrist | 1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701-7423 | 2006-02-22 |
| 1033441423 | Aurora Foot & Ankle Surgical Specialists, LLC | Podiatrist | 1626 30th Ave Ste 202, Fairbanks, AK 99701 | 2010-02-09 |
| 1639367600 | Anh T Lam | Podiatrist | 7691 Glacier Hwy, Juneau, AK 99801-7912 | 2007-10-04 |
| 1407986979 | Brian Kip Coyne | Podiatrist | 11951 E Palmer Wasilla Hwy, Palmer, AK 99645 | 2007-03-06 |
| 1558498402 | Ralph Sylvan Dixon | Podiatrist | 1405 Kellum St, Suite 200, Fairbanks, AK 99701-4189 | 2007-02-27 |
Please comment or provide details below to improve the information on DR. DAVID R RANDALL.
| 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.