Todd L Randolph (NPI# 1740249192, PAC ID# 4789661547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1740249192 |
| PAC ID by PECOS | 4789661547 |
| Professional Enrollment ID | I20040630000759 |
| Full Name | Todd L Randolph |
| Address |
1393 E Sego Lily Dr Sandy UT 84092-4350 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PATHOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1393 E Sego Lily Dr, Sandy, UT 84092-4350 |
| Street Address |
1393 E SEGO LILY DR |
| City | SANDY |
| State | UT |
| Zip | 84092-4350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nichole Cuddeback | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
| Robert Kyle Barnett | Gastroenterology | Granite Peaks Gi, LLC | 1393 E Sego Lily Dr, Sandy, UT 84092-4350 |
| Cheryl L Howard | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
| Jacob M Hunsaker | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
| Shane E Stockwell | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
| Angela L Salerno | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
| James R Harned | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
| Amy C Lemmon | Certified Registered Nurse Anesthetist (crna) | Utah Anesthesia, LLC | 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andre Crouch | Emergency Medicine | Ihc Health Services Inc | Hwy 210 Little, Cottonwood Canyon, Snowbird, UT 84092 |
| Tricia Petzold | Family Practice | Ihc Health Services Inc | Hwy 210 Little Cottonwood Canyon, Snowbird Clinic, Snowbird, UT 84092 |
| Ellen H Guthrie | Internal Medicine | Ihc Health Services Inc | Hwy 210 Little, Cottonwood Canyon, Snowbird, UT 84092 |
| Michael B Noyes | Emergency Medicine | Ihc Health Services Inc | Hwy 210 Little, Cottonwood Canyon, Snowbird, UT 84092 |
| Kimberly J Davis | Family Practice | 10237 S Dimple Dell Rd, Sandy, UT 84092-4536 | |
| Kenneth Michael Jorgensen | Emergency Medicine | Ihc Health Services Inc | 9385 S Snowbird Ctr Dr, Snowbird, UT 84092-6249 |
| Kenneth P Libre | Emergency Medicine | 10160 E State Hwy 210, Suite 1, Alta, UT 84092-9509 |
| City | SANDY |
| Zip Code | 84092 |
| Specialty | PATHOLOGY |
| City + Specialty | SANDY + PATHOLOGY |
Please comment or provide details below to improve the information on Todd L Randolph.
| 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.