National Provider Identifier Database

RANDALL DERMATOLOGY PC
Dermatology

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.


Contact Information

RANDALL DERMATOLOGY, PC
124 SAGAMORE PKWY W
WEST LAFAYETTE, IN47906-1569
Phone: 765-463-6722
Fax: 765-463-0905
Website:
Specialty Taxonomy Code
* Dermatology 207N00000X
MOHS-Micrographic Surgery 207ND0101X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for RANDALL DERMATOLOGY, PC

NPI Number 1245340488
Legal business name
LBN
RANDALL DERMATOLOGY, PC
Authorized official JOHN RANDALL - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 12/19/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01042716
  • IN License #: 10000699A
  • IN License #: 71001017A
  • IN License #: 710013695B
  • IN Medicaid: 200207110A

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.

Reviews for RANDALL DERMATOLOGY, PC

There are currently no reviews for RANDALL DERMATOLOGY, PC


NPIdb - Home
v2.201