Mark Steven Randall
Health Service
8075 North Shadeland Avenue
Indianapolis
, Indiana 46256-2693
Mark Steven Randall
Health Service
8075 North Shadeland Avenue
Indianapolis
, Indiana 46256-2693
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Mark Steven Randall
- 8180 Clearvista Parkway Suite 230 Attn Sherry Mueller
- Indianapolis, IN
- Zip : 46256-4649
- Phone :
Second Address
- Mark Steven Randall
- 8075 North Shadeland Avenue
- Indianapolis, IN
- Zip : 46256-2693
- Phone : (317) 621-8000
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service | 20041703A | IN |
National Provider Identifier
| NPI | 1538161351 |
|---|---|
| Provider Name | Mark Steven Randall |
| First Address | Indianapolis, IN 46256-4649 |
| Second Address | Indianapolis, IN 46256-2693 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2005 |
| Last Update Date | 10/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200305690 | (05) | IN |
| 680016092 | RAILROAD MEDICARE (01) | IN |
| G02887 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.