RANDOLPH S. POWERS M.D. NPI 1962407536

NPI Information

NPI: 1962407536
Provider Name: RANDOLPH S. POWERS, M.D.
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
100 BROOKSBY VILLAGE DR
PEABODY, MA
ZIP 01960
Phone: (978) 536-7850
Get Directions

Randolph S. Powers, M.D. is a geriatric medicine family medicine in Peabody, MA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Randolph S. Powers, M.D. NPI is 1962407536. 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:

100 BROOKSBY VILLAGE DR
PEABODY, MA
ZIP 01960-438
Phone: (978) 536-7850
Fax: (877) 280-9727

The enumeration date for this NPI number is 6/20/2005 and was last updated on 5/24/2011.

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	207QG0300X	Family Medicine	Geriatric Medicine	80799	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	B07616	MEDICARE UPIN	MASSACHUSETTS
2	07-02617	OTHER		EVERCARE
3	J31185	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
4	J3118501	MEDICARE PIN	MASSACHUSETTS
5	P00602018	OTHER		RAILROAD MEDICARE
6	3139298	MEDICAID	MASSACHUSETTS
7	1962407536	OTHER		BCBS
8	0132658	OTHER	MASSACHUSETTS	EVERCARE
9	968005	OTHER		NETWORK HEALTH
10	0016036	OTHER		NEIGHBORHOOD HEALTH PLAN
11	P00228069	OTHER		RAILROAD MEDICARE
12	B07616	OTHER	NEW HAMPSHIRE	ANTHEM BLUE CROSS
13	080799	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
14	1440628	OTHER		CIGNA
15	30205089	OTHER	NEW HAMPSHIRE	NEW HAMPSHIRE MEDICAID
16	1440628	OTHER		HEALTHSOURCE
17	AA32263	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTHCAR

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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