EMILY MARIE RANDALL (NPI# 1902208358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902208358 |
| Entity Type | Individual |
| Full Name | EMILY MARIE RANDALL |
| Credential | P.A. |
| Practice Address |
6821 Palisades Park Ct Suite 1 Fort Myers FL 33912-7131 |
| Practice Telephone | 2399368555 |
| Practice Fax Number | 2399365611 |
| Mailing Telephone | 2399368555 |
| Mailing Fax Number | 2399365611 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9108234 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174940522 | Emily Randall | Physical Therapist | 120 N. Locust, Wapella, IL 61777 | 2014-03-24 |
| 1366957433 | Emily Randall | Occupational Therapist | 20 Industrial Park Dr, Nashua, NH 03062-3178 | 2017-12-11 |
| 1790202950 | Emily Lauren Randall | Nurse Anesthetist, Certified Registered | 345 St. Paul Place, Baltimore, MD 21202 | 2017-08-28 |
| 1881002368 | Emily A Randall | Social Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2014-07-28 |
| 1558697995 | Emily Mettlach Randall | Physical Therapist | 2132 Gause Blvd E Ste 6, Slidell, LA 70461-4243 | 2009-10-20 |
| 1902075146 | Emily Randall | Social Worker | 4545 42nd St Nw, Suite 304, Washington, DC 20016-4623 | 2008-02-21 |
| 1811070147 | Emily Padget Randall | Social Worker | 14 Porter St, East Boston Counseling Center, East Boston, MA 02128-2116 | 2006-10-23 |
| Street Address |
6821 PALISADES PARK CT SUITE 1 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457344277 | Gordon D Burtch | Surgery | 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 | 2005-08-26 |
| 1912184920 | Biju Koshy Thomas | Surgery | 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 | 2008-01-22 |
| 1326003997 | Thad Kammerlocher | Surgery | 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 | 2006-04-18 |
| 1932193364 | Jose F Manibo | Surgery | 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 | 2005-08-31 |
| 1033103437 | Surgical Specialists of Southwest Florida P.a. | Surgery | 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 | 2005-08-31 |
| 1942294343 | Ajay Kalra | Surgery | 6821 Palisades Park Ct, Fort Myers, FL 33912-7131 | 2005-08-31 |
| 1447243134 | Anthony J D'angelo | Surgery | 6821 Palisades Park Ct, Suite 1, Fort Myers, FL 33912-7131 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679981641 | Corbett Family Medical Center Plc | Physician Assistant | 4991 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2014-07-23 |
| 1437599438 | A&b Premier Medical Services | Physician Assistant | 10390 Washingtonia Palm Way Apt 4424, Fort Myers, FL 33966-7992 | 2013-07-05 |
| 1609118645 | Sunshine Mobile Medical Services, LLC | Physician Assistant | 2301 Harvard Ave, Fort Myers, FL 33907-4232 | 2013-03-16 |
| 1821272774 | Ashokkumar B Chaudhari | Physician Assistant | 6599 Plantation Preserve Cir N, Fort Myers, FL 33966-8366 | 2007-12-27 |
| 1982767745 | Elaine-maria Zafar | Physician Assistant | 8381 Riverwalk Park Blvd Ste 202, Fort Myers, FL 33919-8760 | 2006-12-19 |
| 1093707341 | Richard D Ornato | Physician Assistant | 9400 Gladiolus Dr, Suite 250, Fort Myers, FL 33908-6699 | 2005-08-22 |
| 1841841822 | Anisa Meghan Jallal | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-22 |
| 1275181265 | Rachel Michele Bautsch | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-03 |
| 1447758818 | William Floyd Meyer | Physician Assistant | 11300 Lindbergh Blvd Ste 110, Fort Myers, FL 33913 | 2018-01-31 |
| 1902325681 | Jason Anthony Moore | Physician Assistant | 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 | 2017-09-14 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on EMILY MARIE RANDALL.
| 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.