DR. DANIEL CRAIG RANDA M.D. NPI 1619918448

NPI Information

NPI: 1619918448
Provider Name: DR. DANIEL CRAIG RANDA, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
3833 COON RAPIDS BLVD NW
SUITE 100
COON RAPIDS, MN
ZIP 55433
Phone: (763) 427-8320
Get Directions

DR. Daniel Craig Randa, M.D. is a neurology psychiatry neurology in Coon Rapids, MN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Daniel Craig Randa, M.D. NPI is 1619918448. 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:

3833 COON RAPIDS BLVD NW
SUITE 100
COON RAPIDS, MN
ZIP 55433-697
Phone: (763) 427-8320
Fax: (763) 302-4338

The enumeration date for this NPI number is 6/10/2006 and was last updated on 12/2/2011.

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	2084N0400X	Psychiatry & Neurology	Neurology	27489	WISCONSIN	No
2	2084N0400X	Psychiatry & Neurology	Neurology	21318	MINNESOTA	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	Other Provider Identifier Issuer
1	22679	OTHER	MINNESOTA	AMERICA'S PPO
2	0265013	OTHER	MINNESOTA	PREFERRED ONE
3	30204000	MEDICAID	WISCONSIN
4	HP14220	OTHER	MINNESOTA	HEALTHPARTNERS
5	130000072	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MN MEDICARE
6	0006	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	WI MEDICARE
7	130004697	OTHER	MINNESOTA	RAILROAD MEDICARE
8	14275RA	OTHER	MINNESOTA	BCBS OF MN
9	0501738	OTHER	MINNESOTA	MEDICA
10	916763300	MEDICAID	MINNESOTA
11	100297C029	OTHER	MINNESOTA	UCARE
12	A94153	MEDICARE UPIN	MINNESOTA

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 »