Mr. Randy L Panke, NCCPA
Physician Assistant in Groton, Connecticut
1285699488- Practice location
- 159 Trout Ave, Navsubase Nlon, Groton, CT 06349-5159
- Phone
- 860-694-6464
- Fax
- —
- Last updated
- July 24, 2024
Randy L Panke is a Physician Assistant based in Groton, CT. Randy L Panke practices in Groton, CT and has the professional credentials of NCCPA. The NPI Number for Randy L Panke is 1285699488. The current practice location address for Randy L Panke is 159 Trout Ave, Navsubase Nlon, Groton, CT 06349-5159 and can be reached out via phone at 860-694-6464.
Provider Profile Details
- NPI Number
- 1285699488
- Provider Name
- Randy L Panke
- Credential
- NCCPA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 159 Trout Ave, Navsubase Nlon, Groton, CT 06349-5159
- Phone Number
- 860-694-6464
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 19, 2006
- Last Update Date
- July 24, 2024
- Certification Date
- July 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 159 Trout Ave
Navsubase Nlon
Groton, CT 06349-5159 - City
- Groton
- State
- Connecticut
- Zip
- 06349-5159
- Phone Number
- 860-694-6464
Provider Business Mailing Address Details
- Address
- Psc 1005 Box 11185
Fpo, AA 34009-0112 - City
- Fpo
- State
- AA
- Zip
- 34009-0112
- Phone Number
- 757-458-2998
License Information
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Jeanne Reed, PA-CPhysician Assistant · NPI 1356475776
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Frequently Asked Questions
What is the NPI number of Mr. Randy L Panke, NCCPA?
The NPI number of Mr. Randy L Panke, NCCPA is 1285699488. It was assigned on April 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Randy L Panke, NCCPA?
Mr. Randy L Panke, NCCPA is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Mr. Randy L Panke, NCCPA practice?
The practice location is 159 Trout Ave, Navsubase Nlon, Groton, CT 06349-5159. The office can be reached at 860-694-6464 (phone).
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 1285699488 directly on the NPPES registry website.