EMILY MARIE RANDALL P.A. NPI 1902208358

NPI Information

NPI: 1902208358
Provider Name: EMILY MARIE RANDALL, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
ZIP 46237
Phone: (317) 865-4800
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Emily Marie Randall, P.A. is a medical physician assistant in Indianapolis, IN with 10 years of experience. Emily Marie Randall, P.A. NPI is 1902208358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
ZIP 46237-342
Phone: (317) 865-4800
Fax: (317) 865-4806

The NPI 1902208358 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 9/17/2014 and was last updated on 9/29/2023.

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	363AM0700X	Physician Assistant	Medical	PA9108234	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	10003350A	INDIANA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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