Randall Dermatology, Pc is a Nurse Practitioner based in West Lafayette Bra, IN. Randall Dermatology, Pc practices in West Lafayette Bra, IN. The NPI Number for Randall Dermatology, Pc is 1245340488 and holds a License No. 01042716 (Indiana).
The current practice location address for Randall Dermatology, Pc is 124 Sagamore Pkwy W, West Lafayette Bra, IN and can be reached out via phone at 765-463-6722 and via fax at 765-463-0905.
Location: 124 Sagamore Pkwy W, West Lafayette Bra, IN, 47906-1569
Provider Profile Details
NPI Number
1245340488
Provider Name
Randall Dermatology, Pc
Credential
Provider Entity Type
Organization
Address
124 Sagamore Pkwy W, West Lafayette Bra, IN, 47906-1569
Phone Number
765-463-6722
Fax Number
765-463-0905
Provider Enumeration Date
08/30/2006
Last Update Date
01/18/2025
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200207110A | 05 | IN |
Provider Business Practice Location Address Details
Address
124 Sagamore Pkwy W
City
State
Zip
47906-1569
Phone Number
765-463-6722
Fax Number
765-463-0905
Provider Business Mailing Address Details
Address
124 Sagamore Pkwy W
City
State
Zip
47906-1569
Phone Number
765-463-6722
Fax Number
765-463-0905
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
License No.
710013695B (Indiana)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
License No.
10000699A (Indiana)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
01042716 (Indiana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
01042716 (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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