DR. RANDALL C SCHICK I (NPI# 1932172509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932172509 |
| Entity Type | Individual |
| Full Name | DR. RANDALL C SCHICK I |
| Credential | DO |
| Practice Address |
Bldg N-46 Cape Sarichef Kodiak AK 99619-5002 |
| Mailing Address |
Uscg Hq, Comdt (cg-1122) 2100 2nd Street Sw Washington DC 20593-0001 |
| Practice Telephone | 9074875757 |
| Practice Fax Number | 9074875360 |
| Mailing Telephone | 9074875757 |
| Mailing Fax Number | 9074875360 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2896 | AK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 31383-021 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
BLDG N-46 CAPE SARICHEF |
| City | KODIAK |
| State | AK |
| Zip Code | 99619-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164612123 | Kimberly D Britt | Dental Assistant | Bldg N-46 Cape Sarichef, Kodiak, AK 99619-5002 | 2007-07-26 |
| 1215137203 | Mindy Ann Tucker | Military Health Care Provider | Bldg N-46 Cape Sarichef, Kodiak, AK 99619-5002 | 2007-07-19 |
| 1326248337 | Ronald Joseph Mulgrew | Military Health Care Provider | Bldg N-46 Cape Sarichef, Kodiak, AK 99619-5002 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255832069 | Johnathan Gunn | Military Health Care Provider | 200 Albatross Ave. Bldg N46, P.o. Box 190651, Kodiak, AK 99619 | 2018-02-27 |
| 1124416151 | Katelyn Braswell | Technician, Other | Base Kodiak Bldg N46, Kodiak, AK 99619 | 2014-12-29 |
| 1033517206 | United States Coast Guard | Clinic/Center | Base Kodiak Building N-46, Kodiak, AK 99619 | 2014-12-19 |
| 1891043642 | Lara Alohalani Schiffer | Technician, Other | N46 Cape Sarichef Rd, Rockmore King Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1114275807 | Bonnie Reilly | Technician, Other | Sarichef Rd Bldg N-46, Hswl Rockmore-king Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1730437427 | April Lynn Fieste | Technician, Health Information | Cape Sarichef Bldg N46, Uscg Hswl Rockmore King Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1568710259 | Zachary Xaiver Love | Technician, Other | Cape Sarichef Rd. Bldg N46, Hswl Rockmore-king Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1518159672 | Regan Enlow-moir | Dental Hygienist | Building N46, Cape Sarichef Street, Kodiak, AK 99619 | 2007-08-13 |
| 1659416857 | Kristy A Campbell | Technician, Other | Cape Sarichef Rd Bldg N46, Hswl Fo Kodiak, Kodiak, AK 99619 | 2007-02-21 |
| 1689727539 | Elaine A. Jergons | Military Health Care Provider | Building N-46, Kodiak, AK 99619 | 2007-01-22 |
| Find all providers in zip 99619 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265181 | Kodiak Birth and Wellness, LLC | Family Medicine | 1527 Mission Rd, Kodiak, AK 99615-6507 | 2020-01-29 |
| 1962639617 | Paul A Forward | Family Medicine | 1915 Rezanof Dr E, Kodiak, AK 99615-6602 | 2009-06-19 |
| 1386765618 | Thomas Hugh Solenberger | Family Medicine | 1955 Marmot Dr, Kodiak, AK 99615-7233 | 2007-04-03 |
| 1538205307 | Kevin Creelman | Family Medicine | 104 Center Ave Ste 100, Kodiak, AK 99615-6393 | 2007-01-29 |
| 1588721195 | John M Koller | Family Medicine | 202 Center Ave., Ste. 102, Kodiak, AK 99615-1126 | 2007-01-02 |
| 1225106263 | North Pacific Medical Center PC | Family Medicine | 104 Center Ave Suite 100, Kodiak, AK 99615 | 2006-11-30 |
| 1437104940 | Heidi Coryell Lowrey Baines | Family Medicine | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2006-05-23 |
| 1831162825 | Laura Marie Walters | Family Medicine | 1911 E Rezanof Dr, Kodiak, AK 99615-6602 | 2006-02-09 |
| 1386629541 | Kevin Joseph Nolan | Family Medicine | 210b Albatross Ave, Kodiak, AK 99615-6806 | 2005-12-09 |
| 1659635225 | Cristin Moira O'grady | Family Medicine | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2012-06-28 |
| Find all providers in KODIAK | ||||
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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.