Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RANDALL L SISAM DO
NPI 1487604435
Obstetrics & Gynecology in Waterville, ME

Active since May 11, 2006
180 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901(207) 872-5529(207) 872-9219 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall L Sisam Do NPPES

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

RANDALL L SISAM DO (NPI 1487604435) is an individual obstetrics & gynecology provider in Waterville, Maine, licensed in Maine (LT06104A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1487604435
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameRANDALL L SISAMCredential: DO
Location Address180 KENNEDY MEMORIAL DRWaterville, ME 04901-4540
Mailing Address180 Kennedy Memorial DrWaterville, ME 04901-4541 · (207) 872-5529 · Fax (207) 872-9219
Fax(207) 872-9219
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1487604435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in ME · LT06104A
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

180 KENNEDY MEMORIAL DR, Waterville, ME 04901

Other Providers at the Same Location NPPES 15

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

Dietitian, Registered
180 KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Obstetrics & Gynecology
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901
Internal Medicine
180 KENNEDY MEMORIAL DR, SUITE 202
WATERVILLE, ME 04901
Nurse Practitioner
180 KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Psychiatry & Neurology (Clinical Neurophysiology)
180 KENNEDY MEMORIAL DR, SUITE 203
WATERVILLE, ME 04901
Surgery
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901
Surgery
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901
Obstetrics & Gynecology
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901

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 Randall Sisam's NPI number?

The NPI number for Randall Sisam is 1487604435. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Randall Sisam located?

Randall Sisam practices at 180 Kennedy Memorial Dr, Waterville, ME 04901. The listed phone number is (207) 872-5529.

What is Randall Sisam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Randall Sisam was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.