MR. RORY ERIC RANDALL CNP NPI 1619370905

NPI Information

NPI: 1619370905
Provider Name: MR. RORY ERIC RANDALL, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
11100 EUCLID AVE
SEIDMAN CANCER CENTER RM 1830
CLEVELAND, OH
ZIP 44106
Phone: (216) 286-3826
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MR. Rory Eric Randall, CNP is an adult health nurse practitioner in Cleveland, OH. MR. Rory Eric Randall, CNP NPI is 1619370905. 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:

11100 EUCLID AVE
SEIDMAN CANCER CENTER RM 1830
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 286-3826
Fax: (216) 286-3864

The NPI 1619370905 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 10/1/2014 and was last updated on 1/12/2021.

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	163W00000X	Registered Nurse		RN.305782-COA1	OHIO	No
2	363LA2200X	Nurse Practitioner	Adult Health	COA.16607-NP	OHIO	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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