CHARLES RANDALL M.D. NPI 1881699668

NPI Information

NPI: 1881699668
Provider Name: CHARLES RANDALL, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
260 MERRIMAC ST
NEWBURYPORT, MA
ZIP 01950
Phone: (978) 499-7200
Get Directions

Charles Randall, M.D. is a pulmonary disease internal medicine in Newburyport, MA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Charles Randall, M.D. NPI is 1881699668. 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:

260 MERRIMAC ST
NEWBURYPORT, MA
ZIP 01950-192
Phone: (978) 499-7200
Fax: (978) 499-7216

The enumeration date for this NPI number is 6/17/2005 and was last updated on 6/18/2014.

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	207R00000X	Internal Medicine		54597	MASSACHUSETTS	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	54597	MASSACHUSETTS	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	J07241	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
2	J0724101	MEDICARE PIN	MASSACHUSETTS
3	0014413	OTHER		CIGNA
4	054597	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
5	110045489A	MEDICAID	MASSACHUSETTS
6	60720	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTHCAR
7	974558	OTHER	MASSACHUSETTS	NETWORK HEALTH
8	48-00612	OTHER	MASSACHUSETTS	EVERCARE
9	A59300	MEDICARE UPIN	MASSACHUSETTS
10	A59300	OTHER	NEW HAMPSHIRE	ANTHEM BLUE CROSS

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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