MR. RANDALL THOMAS STEWART CRNA NPI 1407834633

NPI Information

  • NPI: 1407834633
  • Provider Name: MR. RANDALL THOMAS STEWART, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 1700 E 19TH ST
    MID COLUMBIA MEDICAL CENTER
    THE DALLES, OR
    ZIP 97058
  • Phone: (541) 296-1111

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NPI Details

MR. Randall Thomas Stewart, CRNA is a nurse anesthetist certified registered in The Dalles, OR. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MR. Randall Thomas Stewart, CRNA NPI is 1407834633. 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:

1700 E 19TH ST
MID COLUMBIA MEDICAL CENTER
THE DALLES, OR
ZIP 97058-653
Phone: (541) 296-1111
Fax: (541) 296-7614

The enumeration date for this NPI number is 1/6/2006 and was last updated on 7/8/2007.

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
1367500000XNurse Anesthetist, Certified RegisteredAP30004725WASHINGTONNo
2367500000XNurse Anesthetist, Certified RegisteredRN0006617WASHINGTONNo
3367500000XNurse Anesthetist, Certified RegisteredOREGONYes

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 Other Provider Identifier Issuer
10035006OTHERWASHINGTONWA DEPT LABOR
2071290MEDICAIDOREGON
3R08589MEDICARE UPIN
408263900OOTHEROREGONBCBS
50615434MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
69025966MEDICAIDWASHINGTON

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: 11/21/2025

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