Dr. John K Randall, RPH, MD
Dr. John K Randall, RPH, MD is a Micrographic Dermatologic Surgery (Mds) in West Lafayette, Indiana. Graduated from Northeastern Ohio University College of Medicine in 1986, 40 years ago. Practices with Randall Dermatology, PC, a 10-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 40
- Trained at
- Northeastern Ohio University College of Medicine
- Licensed in
- IN
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
124 Sagamore Pkwy WWest Lafayette, IN 47906-1569
Phone: (765) 463-6722
Fax: (765) 463-0905
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 01042716 (IN) |
|---|---|
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence 01042716 (IN) |
| Dermatology Physician | Taxonomy 207N00000X · Licence 01042716 (IN) |
Record details
| NPI number | 1326076530 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RPH , MD |
| Sole proprietor | No |
| NPI enumerated | June 28, 2006 |
| Last updated in NPPES | December 19, 2024 |
| Certification date | December 19, 2024 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Also practises | DERMATOLOGY |
| Medical school | NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 1986 (40 years in practice) |
| Group practice | Randall Dermatology, Pc — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |