MRS. CARRIE LINDA RANDALL P.A.-C NPI 1891980728

NPI Information

NPI: 1891980728
Provider Name: MRS. CARRIE LINDA RANDALL, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1505 E MAIN ST
STIGLER HEALTH AND WELLNESS
STIGLER, OK
ZIP 74462
Phone: (918) 967-3368
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MRS. Carrie Linda Randall, P.A.-C is a medical physician assistant in Stigler, OK. MRS. Carrie Linda Randall, P.A.-C NPI is 1891980728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1505 E MAIN ST
STIGLER HEALTH AND WELLNESS
STIGLER, OK
ZIP 74462-913
Phone: (918) 967-3368
Fax: (918) 967-3351

The NPI 1891980728 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 enumeration date for this NPI number is 9/13/2007 and was last updated on 6/26/2015.

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	363AM0700X	Physician Assistant	Medical	1077570	OKLAHOMA	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	OKA102554	MEDICARE PIN	OKLAHOMA
2	200122650A	MEDICAID	OKLAHOMA

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: 5/5/2024

NPI Synchronization or Removal

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