Randolph C Fish (NPI# 1063493559, PAC ID# 9638123045) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1063493559 |
| PAC ID by PECOS | 9638123045 |
| Professional Enrollment ID | I20050309000284 |
| Full Name | Randolph C Fish |
| Address |
915 So 76th St Tacoma WA 98408-2908 |
| Phone Number | 2535849530 |
| Gender | M |
| Credential | DPM |
| Medical School | PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500031 | GRAYS HARBOR COMMUNITY HOSPITAL |
| 500108 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 915 So 76th St, Tacoma, WA 98408-2908 | 2535849530 |
| Street Address |
915 SO 76TH ST |
| City | TACOMA |
| State | WA |
| Zip | 98408-2908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Kaftan | Undefined Non-physician Type (specify) | Multicare Health System | 1901 S 72nd St, A 1, Tacoma, WA 98408-1200 |
| Angela Ko | Occupational Therapy | Multicare Health System | 1901 S 72nd St, A 1, Tacoma, WA 98408-1200 |
| Brent Proctor | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 1901 S 72nd St, Suite A 1, Tacoma, WA 98408-1200 |
| Joel D Vranna | Chiropractic | 1702 S 72nd St, Suite A, Tacoma, WA 98408-1238 | |
| Richard M Raymond | Chiropractic | Accident and Injury Chiropractic Center Inc | 1702 S 72nd A, Tacoma, WA 98408-1238 |
| Robert Chant | Chiropractic | Accident and Injury Chiropractic Center Inc | 1702 S 72nd A, Tacoma, WA 98408-1238 |
| Jeffrey Bernal Kahrs | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Kevin M Lyter | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Dean F Simmons | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Richard D Leone | Chiropractic | 1720 S 72nd St, Suite 201, Tacoma, WA 98408-1299 | |
| Find all physicians in zip 98408 | |||
| City | TACOMA |
| Zip Code | 98408 |
| Specialty | PODIATRY |
| City + Specialty | TACOMA + PODIATRY |
Please comment or provide details below to improve the information on Randolph C Fish.
| 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.