Michelle Randolph Md Pc
LBN: Michelle Randolph Md Pc
Michelle Randolph Md Pc is an health care organization with primary practice located at 2741 Debarr Road Suite 402 , Anchorage AK 99508. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty.
Michelle Randolph Md Pc can be contacted via phone (907) 531-5213, or through Randolph, Michelle Lisa via phone (808) 295-6058.
Contact Information
Primary practice address
2741 Debarr Road Suite 402
Anchorage AK 99508
Phone: (907) 531-5213
Fax: (907) 531-5013
Website:
Authorized official contact:
Name: Randolph, Michelle Lisa Doctor of Medicine (MD)
Phone: (808) 295-6058
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 7641 | Alaska |
Profile Details
| NPI number | 1578806436 |
|---|---|
| LBN Legal business name | Michelle Randolph Md Pc |
| DBA Doing business as | |
| Authorized official | Randolph, Michelle Lisa Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | Oct 28th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578806436 | NPPES |
| Alaska | MEDICAID | 1583849 |
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