RANDALL SCOTT WHITESIDE CP NPI 1871017137

NPI Information

  • NPI: 1871017137
  • Provider Name: RANDALL SCOTT WHITESIDE, CP
  • Classification: Prosthetist - 224P00000X
  • Entity Type: Individual
  • Address: 1190 E MISSOURI AVE STE 190
    PHOENIX, AZ
    ZIP 85014
  • Phone: (602) 312-6605

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NPI Details

Randall Scott Whiteside, CP is a prosthetist in Phoenix, AZ. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. Randall Scott Whiteside, CP NPI is 1871017137. 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:

1190 E MISSOURI AVE STE 190
PHOENIX, AZ
ZIP 85014-736
Phone: (602) 312-6605
Fax: (480) 212-5944

The enumeration date for this NPI number is 7/28/2017 and was last updated on 3/17/2018.

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
1224P00000XProsthetistYes

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: 3/30/2025

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