GLENN R. RANDALL MD – NPI #1033170972
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

GLENN RANDALL is a physician located in WORCESTER, MA. NPPES has assigned the NPI number 1033170972 to GLENN RANDALL on March 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 12 years ago on Jan 17, 2014. 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 GLENN RANDALL below.

NPI Profile for
GLENN R. RANDALL

NPI Number
1033170972
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLENN R. RANDALL
Credentials
MD
Primary location
277 EAST MOUNTAIN ST
SUMMIT ELDERCARE
WORCESTER, MA 01606
Phone: (508) 852-2026 Fax: (508) 856-7130
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for GLENN RANDALL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA US HEALTHCARE7001328
OTHERBLUE CARE ELECTJ14922
OTHERBLUE SHIELD HMO BLUEJ14922
OTHERBLUE SHIELD INDEMNITYJ14922
OTHERCHILDRENS MED SEC PLAN27190
OTHERCIGNA HEALTH PLAN6633909
OTHEREVERCARE0400961
OTHERFALLON COMMUNITY HEALTH P991122
OTHERFIRST HEALTH1061182
OTHERHARVARD PILGRIM HEALTHCARAA2364
OTHERHEALTHCARE VALUE MGMT042472266
OTHERHEALTHY START27190
OTHERMEDICARE BJ14922
OTHERMVP HEALTH CARE784073
OTHERONE HEALTH PLAN042472266
OTHERPRIVATE HEALTHCARE SYSTEM042472266
OTHERRAILROAD MEDICARE110175052
MEDICAIDMA3131335
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
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
MA 80026
207RH0002X
- Internal Medicine / Hospice and Palliative Medicine
MA 80026
207R00000X
- Internal Medicine
MA 80026

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.