MICHAEL L. RANDALL DO – NPI #1639196108
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MICHAEL RANDALL is a physician located in CENTEREACH, NY. NPPES has assigned the NPI number 1639196108 to MICHAEL RANDALL on July 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Sep 27, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL RANDALL below.

The provider associated with this NPI number, 1639196108, has been excluded by the Office of Inspector General.

NPI Profile for
MICHAEL L. RANDALL

NPI Number
1639196108
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL L. RANDALL
Credentials
DO
Primary location
2539 MIDDLE COUNTRY ROAD
CENTEREACH, NY 11720
Phone: (631) 580-1740 Fax: (631) 580-9155
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NY 200458

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.