DR. MARTIN RANDALL (NPI# 1992328330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992328330 |
| Entity Type | Individual |
| Full Name | DR. MARTIN RANDALL |
| Credential | MD |
| Practice Address |
1051 N Canton Center Rd Canton MI 48187-5097 |
| Mailing Address |
1522 Simpson Dr Mpb D3230 Ann Arbor MI 48109 |
| Practice Telephone | 7348445400 |
| Mailing Telephone | 7347635589 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 4351045930 | MI | Student, Health Care |
| Street Address |
1051 N CANTON CENTER RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-5097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007350 | Marcia Ann Lahaie | Registered Nurse | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2005-07-18 |
| 1164048401 | Shannon Johnson | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-23 |
| 1740806082 | Erinleigh Michaud | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-23 |
| 1386260610 | Keith Mcauley | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-23 |
| 1467078972 | Kara Jencks | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-20 |
| 1336765031 | Joseph Ladines-lim | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-19 |
| 1063036275 | Averey Strong | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-03 |
| 1518581719 | Anne Boldt | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-03 |
| 1255954368 | Sean Michael Gallagher | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-05-22 |
| 1588287932 | Rebecca Jaffee Patterson | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144867 | Jacquelyn Rain Kelly | Student in an Organized Health Care Education/Training Program | 325 Hillgrove Dr, Canton, GA 30114-8602 | 2020-08-17 |
| 1528686912 | Emily M Dochterman | Student in an Organized Health Care Education/Training Program | 28720 State Highway 16, Canton, MO 63435-3005 | 2020-07-11 |
| 1225654270 | Yuvraj Bhagat | Student in an Organized Health Care Education/Training Program | 43285 Stonington Ct, Canton, MI 48188-1786 | 2020-06-24 |
| 1568085348 | Janki Patel | Student in an Organized Health Care Education/Training Program | 1196 Canterbury Cir, Canton, MI 48187-3810 | 2020-05-27 |
| 1023630563 | Angad Preet Singh | Student in an Organized Health Care Education/Training Program | 2561 Knollwood Dr, Canton, MI 48188-2271 | 2020-05-06 |
| 1841828118 | Megha Trushar Patel | Student in an Organized Health Care Education/Training Program | 50800 Redding Ct, Canton, MI 48187-4451 | 2020-03-31 |
| 1427618727 | Michelle Mcneil | Student in an Organized Health Care Education/Training Program | 10 Hunter Ln, Canton, MA 02021-1731 | 2019-06-18 |
| 1962067157 | Moleca Mahmoud Ghannam | Student in an Organized Health Care Education/Training Program | 49918 Hancock St, Canton, MI 48188-6660 | 2019-05-03 |
| 1235696477 | Jordan Nameth | Student in an Organized Health Care Education/Training Program | 7444 Byron Ave Ne, Canton, OH 44721-1907 | 2019-02-25 |
| 1205311610 | Erika Marie Roschinsky | Student in an Organized Health Care Education/Training Program | 44757 Patrick Dr, Canton, MI 48187-2547 | 2018-10-02 |
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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.