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Dr. John K Randall

Dermatologist Dermatopathologist MOHS-Micrographic Surgeon

124 Sagamore Pkwy W
West Lafayette , Indiana 47906-1569

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Dr. John K Randall

Dermatologist Dermatopathologist MOHS-Micrographic Surgeon

124 Sagamore Pkwy W
West Lafayette , Indiana 47906-1569

(765) 463-0905

Write a Review Save Call

Dr. John K Randall

Dermatologist Dermatopathologist MOHS-Micrographic Surgeon

124 Sagamore Pkwy W
West Lafayette , Indiana 47906-1569

(765) 463-0905 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist
  • MOHS-Micrographic Surgeon
  • Dermatopathologist

Languages spoken

  • English

Location

124 Sagamore Pkwy W West Lafayette , Indiana 47906-1569

First Address

  • Dr. John K Randall
  • 124 Sagamore Pkwy W
  • West Lafayette, IN
  • Zip : 47906-1569
  • Fax : (765) 463-0905
  • Phone : (765) 463-6722

Second Address

  • Dr. John K Randall
  • 124 Sagamore Pkwy W
  • West Lafayette, IN
  • Zip : 47906-1569
  • Fax : (765) 463-0905
  • Phone : (765) 463-6722

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FAQs


Where did Dr. John K Randall attend graduate school?

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Where did Dr. John K Randall do his residency?

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Where did Dr. John K Randall do his fellowship?

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Is Dr. John K Randall board certified?

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What type of doctor is Dr. John K Randall

MOHS-Micrographic Surgeon

In what state does Dr. John K Randall practice in?

Indiana

Where is Dr. John K Randall ’s practice located?

124 Sagamore Pkwy W , West Lafayette, Indiana, 47906-1569

What is Dr. John K Randall ’s gender?

Male

Is Dr. John K Randall a sole practitioner?

No

Is Dr. John K Randall accepting new patients?

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What languages does Dr. John K Randall speak?

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Does Dr. John K Randall accept insurance?

Yes, Dr. John K Randall accepts insurance

Does Dr. John K Randall offers telemedicine?

Dr. John K Randall has not indicated if he offers telemedicine

What is Dr. John K Randall ’s professional license number?

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What is Dr. John K Randall ’s NPI number?

1326076530

Does Dr. John K Randall have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207N00000X Dermatologist 01042716 IN
Y 207ND0101X MOHS-Micrographic Surgeon 01042716 IN
N 207ND0900X Dermatopathologist 01042716 IN

National Provider Identifier

NPI 1326076530
Provider Name Dr. John K Randall
First Address West Lafayette, IN 47906-1569
Second Address West Lafayette, IN 47906-1569
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 28/06/2006
Last Update Date 22/12/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000000092649 BCBS (01) IN
01042716 LICENSE (01) IN
01042716B CSR (01) IN
100415730A (05) IN
200207110A (05) IN
BR1531385 DEA (01)
F-25912 (02) IN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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