DR. GEORGE ETHAN RANDALL M.D. NPI 1538596515

NPI Information

NPI: 1538596515
Provider Name: DR. GEORGE ETHAN RANDALL, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1810 TAMARACK TRL
SKANEATELES, NY
ZIP 13152
Phone: (315) 685-7193
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DR. George Ethan Randall, M.D. is an obstetrics gynecology in Skaneateles, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. George Ethan Randall, M.D. NPI is 1538596515. 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:

1810 TAMARACK TRL
SKANEATELES, NY
ZIP 13152
Phone: (315) 685-7193
Fax: (315) 685-7193

The enumeration date for this NPI number is 10/4/2013 and was last updated on 10/4/2013.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	60-082606	NEW YORK	No
2	207V00000X	Obstetrics & Gynecology		60-082606	NEW YORK	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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