Active NPIIndividual providerSole proprietor

Dr. John W Randolph, DO

Emergency Medicine in Rockport, Maine

NPI Number1225296577
Practice location
6 Glen Cove Dr, Rockport, ME 04856-4240
Fax
207-593-5288
Last updated
May 28, 2010

John Whitney Randolph is an Emergency Medicine based in Rockport, ME. John Whitney Randolph practices in Rockport, ME and has the professional credentials of DO. The NPI Number for John Whitney Randolph is 1225296577 and holds a License No. 2098 (ME). The current practice location address for John Whitney Randolph is 6 Glen Cove Dr, Rockport, ME 04856-4240 and can be reached out via phone at 207-596-8000 and via fax at 207-593-5288.

Provider Profile Details

NPI Number
1225296577
Provider Name
John Whitney Randolph
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6 Glen Cove Dr, Rockport, ME 04856-4240
Phone Number
207-596-8000
Fax Number
207-593-5288
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 22, 2008
Last Update Date
May 28, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Glen Cove Dr
Rockport, ME 04856-4240
State
Maine
Zip
04856-4240
Phone Number
207-596-8000
Fax Number
207-593-5288
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
6 Glen Cove Crive
Penobscot Bay Medical Center
Rockport, ME 04856-4240
City
Rockport
State
ME
Zip
04856-4240
Phone Number
207-596-8000
Fax Number
207-539-5288

License Information

License Number
2098
License State
ME
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John W Randolph, DO?

The NPI number of Dr. John W Randolph, DO is 1225296577. It was assigned on May 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. John W Randolph, DO?

Dr. John W Randolph, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in ME under license number 2098.

Where does Dr. John W Randolph, DO practice?

The practice location is 6 Glen Cove Dr, Rockport, ME 04856-4240. The office can be reached at 207-596-8000 (phone) or 207-593-5288 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225296577 directly on the NPPES registry website.

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