DR. RANDALL L DEARMENT D.O. NPI 1538146055

NPI Information

NPI: 1538146055
Provider Name: DR. RANDALL L DEARMENT, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: MEDICAL EAST

PECOS Registration: Yes

Address:
902 W WASHINGTON ST
ATHENS, AL
ZIP 35611
Phone: (256) 216-9777
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DR. Randall L Dearment, D.O. is a general practice in Athens, AL with 49 years of experience. DR. Randall L Dearment, D.O. NPI is 1538146055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1975

The provider's business location address is:

902 W WASHINGTON ST
ATHENS, AL
ZIP 35611-438
Phone: (256) 216-9777
Fax: (256) 233-9776

The NPI 1538146055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 11/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		5101006945	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5198640	MEDICAID	MICHIGAN
2	E37509	MEDICARE UPIN	MICHIGAN
3	C36088096	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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