ELLEN M RANDALL (NPI# 1760947329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760947329 |
| Entity Type | Individual |
| Full Name | ELLEN M RANDALL |
| Credential | PA-C |
| Practice Address |
705 Riley Hospital Dr Ste 2514 Indianapolis IN 46202-5109 |
| Mailing Address |
950 N Meridian St Ste 500 Indianapolis IN 46204-3908 |
| Practice Telephone | 3179480345 |
| Practice Fax Number | 3179480939 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10002625A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962605246 | Ellen F Randall | Massage Therapist | 2629 W 23rd St, Panama City, FL 32405-2311 | 2007-06-06 |
| Street Address |
705 RILEY HOSPITAL DR STE 2514 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1912963620 | Kimberly D Hand | Physician Assistant | 8141 South Emerson Ave, Suite A, Indianapolis, IN 46237 | 2006-04-21 |
| 1447212162 | Jennifer S. Rothenberger | Physician Assistant | 8333 Naab Rd Ste 250, Indianapolis, IN 46260 | 2006-04-06 |
| 1235129909 | Megan Lynn Chojnacki | Physician Assistant | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2005-10-25 |
| 1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
| 1407495906 | Rachel C Ehrman | Physician Assistant | 7250 Clearvista Dr Ste 100, Indianapolis, IN 46256-4640 | 2019-12-31 |
| 1922659226 | Taylor Ann Smith | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2019-09-27 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1093201048 | Brooke Michele Stein | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2018-07-02 |
| 1043708472 | Joseph Ryan Lundberg | Physician Assistant | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2018-05-01 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on ELLEN M 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.