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MR. RANDY L PANKE NCCPA
NPI 1285699488
Physician Assistant in Groton, CT

Active since April 19, 2006
159 TROUT AVE, NAVSUBASE NLON, GROTON, CT 06349(860) 694-6464 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Randy L Panke Nccpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDY L PANKE NCCPA (NPI 1285699488) is an individual physician assistant in Groton, Connecticut and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1285699488
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RANDY L PANKECredential: NCCPA
Location Address159 TROUT AVE, NAVSUBASE NLONGroton, CT 06349-5159
Mailing AddressPsc 1005 Box 11185Fpo, AA 34009-0112 · (757) 458-2998
Phone(860) 694-6464
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1285699488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
159 TROUT AVE, Groton, CT 06349
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENT DEANGELO HAMMOND IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 649-6451
ROBERT JAMES JONES IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 649-6451
ARTURO LEONARDO IGNACO SIONGCO SUBIDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTN, CT 06349
Southeastern Connecticut Planning Region (860) 910-6045
MR. MICHAEL DEAN COUCH IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 581-0090
MR. JONATHON WAYNE WAITE IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2876
DANIEL PATRICK SULLIVAN SUBMARINE IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2876
MR. GREGORY CHRISTOPHER GARZA IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (530) 906-5872
DANIEL CURTIS ROBERTS IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2876

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Panke's NPI number?

The NPI number for Randy Panke is 1285699488. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Randy Panke located?

Randy Panke practices at 159 Trout Ave Navsubase Nlon, Groton, CT 06349. The listed phone number is (860) 694-6464.

What is Randy Panke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Randy Panke was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.