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Glenn R Randall

Internist Geriatric Medicine Hospice and Palliative Medicine

277 East Mountain St Summit Eldercare
Worcester , Massachusetts 01606

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Image

Glenn R Randall

Internist Geriatric Medicine Hospice and Palliative Medicine

277 East Mountain St Summit Eldercare
Worcester , Massachusetts 01606

(508) 856-7130

Write a Review Save Call

Glenn R Randall

Internist Geriatric Medicine Hospice and Palliative Medicine

277 East Mountain St Summit Eldercare
Worcester , Massachusetts 01606

(508) 856-7130 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Geriatric Medicine
  • Hospice and Palliative Medicine

Languages spoken

  • English

Location

277 East Mountain St Summit Eldercare Worcester , Massachusetts 01606

First Address

  • Glenn R Randall
  • 277 East Mountain St Summit Eldercare
  • Worcester, MA
  • Zip : 01606
  • Fax : (508) 856-7130
  • Phone : (508) 852-2026

Second Address

  • Glenn R Randall
  • 277 East Mountain St Summit Eldercare
  • Worcester, MA
  • Zip : 01606
  • Fax : (508) 856-7130
  • Phone : (508) 852-2026

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FAQs


Where did Glenn R Randall attend graduate school?

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Where did Glenn R Randall do his residency?

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Where did Glenn R Randall do his fellowship?

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Is Glenn R Randall board certified?

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What type of doctor is Glenn R Randall

Geriatric Medicine

In what state does Glenn R Randall practice in?

Massachusetts

Where is Glenn R Randall ’s practice located?

277 East Mountain St Summit Eldercare , Worcester, Massachusetts, 01606

What is Glenn R Randall ’s gender?

Male

Is Glenn R Randall a sole practitioner?

No

Is Glenn R Randall accepting new patients?

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What languages does Glenn R Randall speak?

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Does Glenn R Randall accept insurance?

Yes, Glenn R Randall accepts insurance

Does Glenn R Randall offers telemedicine?

Glenn R Randall has not indicated if he offers telemedicine

What is Glenn R Randall ’s professional license number?

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What is Glenn R Randall ’s NPI number?

1033170972

Does Glenn R Randall have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist 80026 MA
N 111NI0900X Internist 80026 MA
Y 207RG0300X Geriatric Medicine 80026 MA
N 207RH0002X Hospice and Palliative Medicine 80026 MA

National Provider Identifier

NPI 1033170972
Provider Name Glenn R Randall
First Address Worcester, MA 01606
Second Address Worcester, MA 01606
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 30/03/2006
Last Update Date 17/01/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0400961 EVERCARE (01)
042472266 HEALTHCARE VALUE MGMT (01)
042472266 ONE HEALTH PLAN (01)
042472266 PRIVATE HEALTHCARE SYSTEM (01)
1061182 FIRST HEALTH (01)
110175052 RAILROAD MEDICARE (01)
27190 CHILDRENS MED SEC PLAN (01)
27190 HEALTHY START (01)
3131335 (05) MA
6633909 CIGNA HEALTH PLAN (01)
7001328 AETNA US HEALTHCARE (01)
784073 MVP HEALTH CARE (01)
991122 FALLON COMMUNITY HEALTH P (01)
AA2364 HARVARD PILGRIM HEALTHCAR (01)
E87046 (02)
J14922 BLUE CARE ELECT (01)
J14922 BLUE SHIELD HMO BLUE (01)
J14922 BLUE SHIELD INDEMNITY (01)
J14922 MEDICARE B (01)

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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