Randi Louise Duble (NPI# 1083278006, PAC ID# 2961738737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083278006 |
| PAC ID by PECOS | 2961738737 |
| Professional Enrollment ID | I20190731003809 |
| Full Name | Randi Louise Duble |
| Organization Legal Name | MOSAIC MEDICAL |
| Address |
1250 Sw Veterans Way Redmond OR 97756-2585 |
| Phone Number | 5419234426 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5395653497 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380047 | ST CHARLES MEDICAL CENTER - BEND |
| 380040 | ST CHARLES REDMOND |
| Address | Phone | Organization |
|---|---|---|
| 1250 Sw Veterans Way, Redmond, OR 97756-2585 | 5419234426 | MOSAIC MEDICAL |
| Organization Legal Name | MOSAIC MEDICAL |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith William Bell | Physician Assistant | Mosaic Medical | 2084 Ne Professional Ct, Bend, OR 97701-6077 |
| Linda C Hatch | Nurse Practitioner | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Eric L Foote | Physician Assistant | Mosaic Medical | 2965 Ne Conners Ave, Suite 280, Bend, OR 97701-7753 |
| Lisa L Kuettle | Nurse Practitioner | Mosaic Medical | 1700 Se Tempest Dr, Bend, OR 97702-1884 |
| Angela D Enos | Physician Assistant | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Gerda E Tapelband | Internal Medicine | Mosaic Medical | 2084 Ne Professional Ct, Bend, OR 97701-6077 |
| Dana M Rhode | Family Medicine | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Mark T Press | Nurse Practitioner | Mosaic Medical | 2084 Ne Professional Ct, Bend, OR 97701-6077 |
| Diana Burden | Nurse Practitioner | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| William P Irvine | Family Medicine | Mosaic Medical | 850 Sw 4th St, Suite 101, Madras, OR 97741-9629 |
| Street Address |
1250 SW VETERANS WAY |
| City | REDMOND |
| State | OR |
| Zip | 97756-2585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill A Parkin | Clinical Social Worker | Mosaic Medical | 1250 Sw Veterans Way, Redmond, OR 97756-2585 |
| Megan Stone | Nurse Practitioner | Mosaic Medical | 1250 Sw Veterans Way, Redmond, OR 97756-2585 |
| Kelsey M Conklin | Nurse Practitioner | Mosaic Medical | 1250 Sw Veterans Way, Redmond, OR 97756-2585 |
| Monica R. Ramirez | Clinical Social Worker | Mosaic Medical | 1250 Sw Veterans Way, Redmond, OR 97756-2585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Berg Kirkpatrick | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Chloe Kay Norris | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Bonnie Marie Dittmann | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Ellen K Schoenfelder | Family Medicine | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Kevin T Miller | Family Medicine | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Jonathan C Hitzman | Family Medicine | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Danielle Kathryn Addleman | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Jacob Stephen Davison | Physician Assistant | Praxis Medical Group Inc | 1001 Canal Blvd, Womens Center of Central Oregon, Redmond, OR 97756 |
| Katie J Cole | Physical Therapy | 2775 Sw 17th Pl, Suite 1, Redmond, OR 97756-1254 | |
| Michael P Thille | Chiropractic | Chiropractic Associates PC | 117 Nw Larch Ave, Redmond, OR 97756-1322 |
| Find all physicians in zip 97756 | |||
| City | REDMOND |
| Zip Code | 97756 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | REDMOND + NURSE PRACTITIONER |
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| 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.