John Kelly Randall (NPI# 1982679171, PAC ID# 3577695956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1982679171 |
| PAC ID by PECOS | 3577695956 |
| Professional Enrollment ID | I20100721000001 |
| Full Name | John Kelly Randall |
| Address |
605 3rd Ave F Fremont OH 43420-3269 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
| Graduation Year | 1977 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360156 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 605 3rd Ave F, Fremont, OH 43420-3269 |
| Street Address |
605 3RD AVE F |
| City | FREMONT |
| State | OH |
| Zip | 43420-3269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles L Valone | Internal Medicine | 1223 Oak Harbor Rd, Fremont, OH 43420-1020 | |
| Babar Sanaullah | Internal Medicine | 600 N Brush St, Fremont, OH 43420-1402 | |
| Ty N Tracy | Chiropractic | 444 N Stone St, Fremont, OH 43420-1530 | |
| Kelleen Porter | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Michael Coulter | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Thomas J Hallett Ii | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Samuel Rakyta | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Randal Scott Richardson | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| Sarah M Tippie | Physical Therapy | Pt Link LLC | 1823 W State St, Fremont, OH 43420-1635 |
| William Bauer | Neurology | Advanced Neurologic Associates, Inc | 1303 W State St, Fremont, OH 43420-2016 |
| Find all physicians in zip 43420 | |||
| City | FREMONT |
| Zip Code | 43420 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | FREMONT + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on John Kelly Randall.
| 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.