KELLI RANDELL (NPI# 1063707198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063707198 |
Entity Type | Individual |
Full Name | KELLI RANDELL |
Credential | M.D. |
Practice Address |
3475 N Saratoga St Oak Harbor WA 98278 |
Mailing Address |
3475 N Saratoga St Oak Harbor WA 98278-4927 |
Practice Telephone | 3602579561 |
Mailing Telephone | 3602579561 |
Enumeration Date | 2011-06-16 |
Last Update Date | 2019-02-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 01071612A | IN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
34800 Bob Wilson Dr, San Diego, CA 921341098 | 6195328225 |
Street Address |
3475 N SARATOGA ST |
City | OAK HARBOR |
State | WA |
Zip Code | 98278 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164428116 | Jeffrey Howard Davis | Pediatrics | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2005-06-23 |
1467061978 | Michelle Kathryn Papadakis | Dentist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2020-07-30 |
1497376362 | Carrie Crucian | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2020-05-02 |
1538721949 | Tracy Dean | Registered Nurse | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2019-07-05 |
1487174108 | Byron William Crow | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-23 |
1962932285 | Mary Claire Gundayao Matro | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-19 |
1093245359 | Chaney Foote | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-19 |
1073048773 | Lori Bjork | General Practice | 3475 N Saratoga St, Oak Harbor, WA 98278-5000 | 2017-05-01 |
1114478112 | Amy Ziezulewicz | Family Medicine | 3475 N Saratoga St, Oak Harbor, WA 98278 | 2016-10-14 |
1427504091 | Nathan Nakano | Dentist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2016-09-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417219510 | Jonathan Glover Seavey | Orthopaedic Surgery | 3475 N Saratoga St Naval Health Clinic Oak Harbor, Oak Harbor, WA 98278 | 2012-06-13 |
1073020715 | Cassidy West-santos | Student in an Organized Health Care Education/Training Program | 3475 N Saratoga Street Naval Health Clinic Oak Harbor, Oak Harbor, WA 98278-0001 | 2018-01-03 |
1104105766 | Elise Cooper Brandon | Family Medicine | 3475 Saratoga Ave, Oak Harbor, WA 98278-0001 | 2011-08-12 |
1417268780 | Peter Lee Sone | Family Medicine | Naval Health Clinic Oak Harbor 3475 N Saratoga Ave, Oak Harbor, WA 98278-0001 | 2010-07-01 |
1396710935 | David James Damstra | Family Medicine | 9475 N. Saratoga, Oak Harbor, WA 98278-0001 | 2006-02-17 |
1215900139 | Mary Lou Stewart | Dentist | 3475 W Saratoga St, Oak Harbor, WA 98278-0001 | 2006-02-10 |
1396725172 | Michael J Oras | Preventive Medicine | Eodmu 11, 180 W Tulagi Ave, Oak Harbor, WA 98278-0001 | 2006-01-18 |
1043299647 | Herbert Anthony Johnson Jr. | Physician Assistant | Behavioral Health Clinic, Sarp, Naval Hospital, Oak Harbor, WA 98278-0001 | 2006-01-11 |
1790764710 | Jonie L. Mcbee | Nurse Practitioner | Naval Hospital Oak Harbor, 3475 N. Saratoga St., Oak Harbor, WA 98278-0001 | 2006-01-10 |
1437137569 | Mitchell Matthew Paynter | Dentist | Naval Hospital Oak Harbor Nas Whidbey Island, 3475 N. Saratoga St, Oak Harbor, WA 98278-0001 | 2006-01-09 |
Find all providers in zip 98278 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346295649 | Tracy Nimmerrichter-burgess | Internal Medicine | 830 Se Ireland St, Oak Harbor, WA 98277-5502 | 2006-05-24 |
1407830441 | Zayan Anis Kanjo | Internal Medicine | 231 Se Barrington Drive, Suite 209, Oak Harbor, WA 98277 | 2005-12-02 |
1548242928 | Dan Eugene Fisher | Internal Medicine | 165 Se Ely St, Oak Harbor, WA 98277-3748 | 2005-11-18 |
1689947616 | Anumeha Singh | Internal Medicine | 3475 N. Saratoga St., Naval Hospital Oak Harbor, Oak Harbor, WA 98277 | 2012-02-22 |
1497936439 | Whidbey Island Public Hospital District | Internal Medicine | 830 Se Ireland St, Oak Harbor, WA 98277-5502 | 2007-11-19 |
1538115514 | Tracy Nimmerrichter-burgess | Internal Medicine | 830 Se Ireland St, Oak Harbor, WA 98277-5502 | 2006-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790382224 | Heart Central of Washington | Internal Medicine | 1006 S 64th Ave Ste 110, Yakima, WA 98908-2090 | 2020-10-07 |
1265049829 | Robert I Hustrulid Md Pllc | Internal Medicine | 3807 S Sommer Rd, Veradale, WA 99037-9136 | 2020-09-28 |
1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
1225656614 | Sentinel Healthcare Corporation | Internal Medicine | 2220 76th Ave Se, Mercer Island, WA 98040-2114 | 2020-07-11 |
1730718628 | Brendan Eugene Raney | Internal Medicine | 202 N Borough Rd, Tacoma, WA 98403-2804 | 2020-04-03 |
1609404136 | Abigail Anne Cano Deleon | Internal Medicine | 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 | 2020-03-30 |
1528691706 | Blue Med Inc. | Internal Medicine | 1222 N Sunset Dr, Tacoma, WA 98406-1027 | 2020-02-17 |
1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
Find all providers with the same taxonomy |
City | OAK HARBOR |
Zip Code | 98278 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.