Randall S King (NPI# 1982680310, PAC ID# 0042280117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1982680310 |
| PAC ID by PECOS | 0042280117 |
| Professional Enrollment ID | I20100928001717 |
| Full Name | Randall S King |
| Organization Legal Name | DHHS PHS NAIHS CROWNPOINT HOSPITAL |
| Address |
3 Navarre St Thoreau NM 87323-2147 |
| Phone Number | 5058628250 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0143128041 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320062 | CROWNPOINT PHS INDIAN HOSPITAL |
| 030084 | CHINLE COMPREHENSIVE HEALTH CARE FACILITY |
| Address | Phone | Organization |
|---|---|---|
| Off Hwy 191 and Hospital Rd, Chinle, AZ 86503-2147 | 9286747166 | DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY |
| Navajo Route 4, Pinon, AZ 86510-2147 | 9287253220 | DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY |
| 3 Navarre St, Thoreau, NM 87323-2147 | 5058628250 | DHHS PHS NAIHS CROWNPOINT HOSPITAL |
| Organization Legal Name | DHHS PHS NAIHS CROWNPOINT HOSPITAL |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorenzo T Nava | Nurse Practitioner | Dhhs Phs Naihs Crownpoint Hospital | Hwy Junction 371 Rt 9, Crownpoint, NM 87313-0358 |
| Diane K Adams | Internal Medicine | Dhhs Phs Naihs Crownpoint Hospital | 3 Navarre St, Thoreau, NM 87323-2147 |
| Kathleen M Varty | Certified Nurse Midwife (cnm) | Dhhs Phs Naihs Crownpoint Hospital | 10 Pueblo Pintado School, Cuba, NM 87013-2147 |
| Roger C Vanarsdell | Emergency Medicine | Dhhs Phs Naihs Crownpoint Hospital | 10 Pueblo Pintado School, Cuba, NM 87013-2147 |
| Neil A Meade | Family Medicine | Dhhs Phs Naihs Crownpoint Hospital | 10 Pueblo Pintado School, Cuba, NM 87013-2147 |
| Margaret A Stochosky | Nurse Practitioner | Dhhs Phs Naihs Crownpoint Hospital | 10 Pueblo Pintado School, Cuba, NM 87013-2147 |
| Laura Haley Veal | Nurse Practitioner | Dhhs Phs Naihs Crownpoint Hospital | 10 Pueblo Pintado School, Cuba, NM 87013-2147 |
| Melissa L Littlejohn | Nurse Practitioner | Dhhs Phs Naihs Crownpoint Hospital | 3 Navarre St, Thoreau, NM 87323-2147 |
| Nazret G Weldeghiorgis | Optometry | Dhhs Phs Naihs Crownpoint Hospital | 10 Pueblo Pintado School, Cuba, NM 87013-2147 |
| Anita J Wilkerson | Nurse Practitioner | Dhhs Phs Naihs Crownpoint Hospital | Hwy Junction 371 Rt 9, Crownpoint, NM 87313-0358 |
| Street Address |
3 NAVARRE ST |
| City | THOREAU |
| State | NM |
| Zip | 87323-2147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane K Adams | Internal Medicine | Dhhs Phs Naihs Crownpoint Hospital | 3 Navarre St, Thoreau, NM 87323-2147 |
| Melissa L Littlejohn | Nurse Practitioner | Dhhs Phs Naihs Crownpoint Hospital | 3 Navarre St, Thoreau, NM 87323-2147 |
| Isabel A Washburn | Nurse Practitioner | Dhhs Phs Naihs Crownpoint Hospital | 3 Navarre St, Thoreau, NM 87323-2147 |
| Laura L Tirrell | Family Practice | Dhhs Phs Naihs Crownpoint Hospital | 3 Navarre St, Thoreau, NM 87323-2147 |
| City | THOREAU |
| Zip Code | 87323 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | THOREAU + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Randall S King.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.