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WENDELL LEWIS RANDALL MD NPI 1902856065


NPI Information

NPI: 1902856065
Provider Name: WENDELL LEWIS RANDALL, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
956 N MAIN ST
MOUNT AIRY, NC
ZIP 27030
Phone: (336) 648-8550
Get Directions

Wendell Lewis Randall, MD is an anatomic pathology and clinical pathology pathology in Mount Airy, NC. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Wendell Lewis Randall, MD NPI is 1902856065. 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:

956 N MAIN ST
MOUNT AIRY, NC
ZIP 27030-747
Phone: (336) 648-8550
Fax: (336) 648-8551

The NPI 1902856065 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Testing for presence of drug (HCPCS:80305)
  • Testing for presence of drug (HCPCS:80307)

The enumeration date for this NPI number is 5/11/2006 and was last updated on 5/17/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology36016NORTH CAROLINAYes
2208D00000XGeneral Practice36016NORTH CAROLINANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VVF492B944OTHERVIRGINIAMEDICARE NUMBER
270121OTHERNORTH CAROLINABCBS INDIVIDUAL
389070121MEDICAIDNORTH CAROLINA
436016OTHERNORTH CAROLINANORTH CAROLINA MEDICAL BOARD MEDICAL LICENSE

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

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.