KELLI RANDELL


Address: 3475 N Saratoga St, Oak Harbor, WA 98278
Phone: 3602579561

KELLI RANDELL (NPI# 1063707198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 01071612A IN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
34800 Bob Wilson Dr, San Diego, CA 921341098 6195328225

Office Location

Street Address 3475 N SARATOGA ST
City OAK HARBOR
State WA
Zip Code 98278

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City OAK HARBOR
Zip Code 98278

Improve Information

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Dataset Information

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.

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