Randall L Martin (NPI# 1215955885, PAC ID# 6800980434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1215955885 |
| PAC ID by PECOS | 6800980434 |
| Professional Enrollment ID | I20121210000173 |
| Full Name | Randall L Martin |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF LARAMIE LLC |
| Address |
204 Mccollum Dr Laramie WY 82070-5530 |
| Phone Number | 3077456065 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8123001500 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530025 | IVINSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1909 Vista Dr, Laramie, WY 82070-5530 | 3077458851 | ANESTHESIA ASSOCIATES OF LARAMIE LLC |
| 204 Mccollum Dr, Laramie, WY 82070-5530 | 3077456065 | ANESTHESIA ASSOCIATES OF LARAMIE LLC |
| 204 Mccollum Dr, Suite 101, Laramie, WY 82070-5530 | 3077456065 | ANESTHESIA ASSOCIATES OF LARAMIE LLC |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF LARAMIE LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Calvin A Bell | Anesthesiology | Anesthesia Associates of Laramie LLC | 1909 Vista Dr, Laramie, WY 82070-5530 |
| Charles R Coffey | Anesthesiology | Anesthesia Associates of Laramie LLC | 204 Mccollum Dr, Suite 101, Laramie, WY 82070-5530 |
| John David Crecca | Anesthesiology | Anesthesia Associates of Laramie LLC | 1909 Vista Dr, Laramie, WY 82070-5530 |
| Lance A Proctor | Anesthesiology | Anesthesia Associates of Laramie LLC | 255 N 30th St, Laramie, WY 82072-5140 |
| Gregory L Wallace | Anesthesiology | Anesthesia Associates of Laramie LLC | 1909 Vista Dr, Laramie, WY 82070-5530 |
| Andrew T Georgi | Anesthesiology | Anesthesia Associates of Laramie LLC | 255 N 30th St, Laramie, WY 82072-5140 |
| William J Rose | Anesthesiology | Anesthesia Associates of Laramie LLC | 255 N 30th St, Laramie, WY 82072-5140 |
| Street Address |
204 MCCOLLUM DR |
| City | LARAMIE |
| State | WY |
| Zip | 82070-5530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Coffey | Anesthesiology | Anesthesia Associates of Laramie LLC | 204 Mccollum Dr, Suite 101, Laramie, WY 82070-5530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles M Cupps | Chiropractic | 212 E Ivinson, Laramie, WY 82070-3039 | |
| Brent L Bondurant | Chiropractic | 212 E Ivinson Ave, Laramie, WY 82070-3039 | |
| Denise A Gill | Clinical Social Worker | 107 S 5th St, Laramie, WY 82070-3123 | |
| Shontay M Roe | Clinical Social Worker | 112 S 5th St, Laramie, WY 82070-3124 | |
| Charles W Denison | Psychologist, Clinical | 121 E Grand Ave, Suite 202, Laramie, WY 82070-3600 | |
| Larae Sue Stibitz | Clinical Social Worker | 121 E Grand Ave, Suite 216, Laramie, WY 82070-3600 | |
| Janet L Somlyay | Nurse Practitioner | 311 S 2nd St, Laramie, WY 82070-3611 | |
| Julia A Duncan | Nurse Practitioner | 502 S 4th St, Laramie, WY 82070-3704 | |
| Leah S White | Nurse Practitioner | 504 S 4th St, Laramie, WY 82070-3704 | |
| Teresa Jacobs Castano | Clinical Social Worker | 502 S 4th St, Laramie, WY 82070-3704 | |
| Find all physicians in zip 82070 | |||
| City | LARAMIE |
| Zip Code | 82070 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LARAMIE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Randall L Martin.
| 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.