Randolph V Anderson


Address: 14701 179th Ave Se, Suite 201, Monroe, WA 98272-1108

Randolph V Anderson (NPI# 1407827454, PAC ID# 2163504945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1407827454
PAC ID by PECOS 2163504945
Professional Enrollment ID I20080201000185
Full Name Randolph V Anderson
Address 14701 179th Ave Se
Suite 201
Monroe
WA 98272-1108
Gender M
Graduation Year 1988
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500084 EVERGREEN HEALTH MONROE
500003 SKAGIT VALLEY HOSPITAL

Other Locations

Address Phone Organization
14701 179th Ave Se, Suite 201, Monroe, WA 98272-1108
14701 179th Ave Se, Monroe, WA 98272-1108 3607947497 PUBLIC HOSPITAL DISTRICT 1 OF SNOHOMISH COUNTY
120 S 15th St B, Mount Vernon, WA 98274-4500

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Office Location

Street Address 14701 179TH AVE SE
SUITE 201
City MONROE
State WA
Zip 98272-1108

Physicians in the same location

Name Specialty Organization Address
Lilin Wu Certified Registered Nurse Anesthetist (crna) Monroe Anesthesia Physicians Pllc 14701 179th Ave Se, Monroe, WA 98272-1108
Sabiha K Barot Emergency Medicine Evergreen Emergency Services Ps 14701 179th Ave Se, Monroe, WA 98272-1108
Sujoy K Ghorai Gastroenterology Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Michelle L Gordon Internal Medicine Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Marc Champaloux Internal Medicine Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Milan J Stefanec Anesthesiology Monroe Anesthesia Physicians Pllc 14701 179th Ave Se, Monroe, WA 98272-1108
Seyed A Hejazi Internal Medicine Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Jonathan C Borjeson General Surgery Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
James Z Mu Gastroenterology Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Maiyen T Hawkins Gastroenterology Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Sean R O'kelley Physical Therapy 17792 147th St Se, Monroe, WA 98272-1030
Morgan M Reed Physician Assistant Washington Em-i Medical Services PC 14701 179th Se Ave, Monroe, WA 98272-1108
Midori K Larrabee Internal Medicine Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Liang Du Internal Medicine Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Jared W Remington Emergency Medicine Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Emmanuel M Yruma Internal Medicine Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Kenneth Y Chiou Anesthesiology Monroe Anesthesia Physicians Pllc 14701 179th Ave Se, Monroe, WA 98272-1108
Michael E Dorney Internal Medicine Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Christopher M Maccausland Internal Medicine Public Hospital District 1 of Snohomish County 14701 179th Ave Se, Monroe, WA 98272-1108
Edward Hampton Sessions Diagnostic Radiology Radia Inc Ps 14701 179th Ave Se, Monroe, WA 98272-1108
Find all physicians in zip 98272

Competitor

Search similar physicians

City MONROE
Zip Code 98272
Specialty PODIATRY
City + Specialty MONROE + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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