DR. RANDALL JAMES KRYSTOSEK M.D. NPI 1083612006

NPI Information

NPI: 1083612006
Provider Name: DR. RANDALL JAMES KRYSTOSEK, M.D.
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual
Address:
801 SAINT MARYS DR W
SUITE 300
EVANSVILLE, IN
ZIP 47714
Phone: (812) 477-9241
Get Directions

DR. Randall James Krystosek, M.D. is a colon rectal surgery in Evansville, IN. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Randall James Krystosek, M.D. NPI is 1083612006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 SAINT MARYS DR W
SUITE 300
EVANSVILLE, IN
ZIP 47714-512
Phone: (812) 477-9241
Fax: (812) 474-6708

The enumeration date for this NPI number is 7/13/2005 and was last updated on 7/9/2007.

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	208C00000X	Colon & Rectal Surgery		1028039A	INDIANA	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	64755499	MEDICAID	KENTUCKY
2	846900B	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
3	D95058	MEDICARE UPIN	INDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »