Randall Faulk (NPI# 1043214976, PAC ID# 3870563083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043214976 |
| PAC ID by PECOS | 3870563083 |
| Professional Enrollment ID | I20080605000050 |
| Full Name | Randall Faulk |
| Address |
802 N Monceaux Ave Kaplan LA 70548-2013 |
| Phone Number | 3376433800 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191322 | ABROM KAPLAN MEMORIAL HOSPITAL |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| 190034 | ABBEVILLE GENERAL HOSPITAL |
| 190263 | HEART HOSPITAL OF LAFAYETTE |
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1310 W 7th St, Kaplan, LA 70548-2910 | 3376438300 | |
| 802 N Monceaux Ave, Kaplan, LA 70548-2013 | 3376433800 |
| Street Address |
802 N MONCEAUX AVE |
| City | KAPLAN |
| State | LA |
| Zip | 70548-2013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suresh J Patel | Internal Medicine | 804 N Monceaux Ave, Kaplan, LA 70548-2013 | |
| Smita R Prasad | Emergency Medicine | Vermilion Emergency Group LLC | 1310 W 7th St, Kaplan, LA 70548-2910 |
| Nicholas J Lapara Iii | Internal Medicine | Hub City Physician Group LLC | 1310 W 7th St, Kaplan, LA 70548-2910 |
| Carl J Richard | Family Medicine | 204 N Jackson Ave, Kaplan, LA 70548-3920 | |
| David A Tate | General Practice | 109 E 5th St, Kaplan, LA 70548-4113 | |
| Melissa S Ellis | Nurse Practitioner | 304 E Veterans Meml Dr, Kaplan, LA 70548-5009 |
| City | KAPLAN |
| Zip Code | 70548 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KAPLAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Randall Faulk.
| 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.