National Provider Identifier Database

GLENN R RANDALL, MD – NPI #1033170972
Geriatric 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.

Contact Information

GLENN R RANDALL, MD
277 EAST MOUNTAIN ST
SUMMIT ELDERCARE
WORCESTER, MA  01606
Phone: 508-852-2026
Fax: 508-856-7130
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207RG0300X
Hospice and Palliative Medicine 207RH0002X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for GLENN R RANDALL

NPI Number 1033170972
Credentials MD
Entity Individual
Enumeration date 03/30/2006
Last updated 01/17/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 80026
  • MA Medicaid: 3131335
  • Other: 7001328 AETNA US HEALTHCARE
  • Other: J14922 BLUE CARE ELECT
  • Other: J14922 BLUE SHIELD HMO BLUE
  • Other: J14922 BLUE SHIELD INDEMNITY
  • Other: 27190 CHILDRENS MED SEC PLAN
  • Other: 6633909 CIGNA HEALTH PLAN
  • Other: 0400961 EVERCARE
  • Other: 991122 FALLON COMMUNITY HEALTH P
  • Other: 1061182 FIRST HEALTH
  • Other: AA2364 HARVARD PILGRIM HEALTHCAR
  • Other: 042472266 HEALTHCARE VALUE MGMT
  • Other: 27190 HEALTHY START
  • Other: J14922 MEDICARE B
  • Other: 784073 MVP HEALTH CARE
  • Other: 042472266 ONE HEALTH PLAN
  • Other: 042472266 PRIVATE HEALTHCARE SYSTEM
  • Other: 110175052 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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