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RANDY WHITESIDE PROSTHETICS LLC
NPI 1609386853
Prosthetist in Phoenix, AZ

Active since October 02, 2017
1190 E MISSOURI AVE STE 190, PHOENIX, AZ 85014(602) 596-1040(480) 212-5944 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randy Whiteside Prosthetics Llc NPPES

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

RANDY WHITESIDE PROSTHETICS LLC (NPI 1609386853) is a healthcare organization registered as a prosthetist in Phoenix, Arizona and active in the NPI registry since October 2017. The organization lists Randall Whiteside, Manager, as its authorized official.

NPPES Registry Identity

NPI1609386853
Entity TypeOrganization
Primary Taxonomy224P00000X
Legal Business NameRANDY WHITESIDE PROSTHETICS LLC
Location Address1190 E MISSOURI AVE STE 190Phoenix, AZ 85014-2736
Mailing Address1190 E Missouri Ave Ste 190Phoenix, AZ 85014-2736 · (602) 596-1040 · Fax (480) 212-5944
Phone(602) 596-1040
Fax(480) 212-5944
Organization SubpartNo
Authorized OfficialRandall WhitesideManager · (602) 596-4010
Enumeration DateOctober 2, 2017
✔ NPI 1609386853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
1190 E MISSOURI AVE STE 190, Phoenix, AZ 85014
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

RANDALL SCOTT WHITESIDE CP
Prosthetist
1190 E MISSOURI AVE STE 190
PHOENIX, AZ 85014
Maricopa County (602) 312-6605

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 Whiteside Prosthetics LLC's NPI number?

The NPI number for Randy Whiteside Prosthetics LLC is 1609386853. It was assigned to this organization in the NPPES registry on October 2, 2017.

Where is Randy Whiteside Prosthetics LLC located?

Randy Whiteside Prosthetics LLC is located at 1190 E Missouri Ave Ste 190, Phoenix, AZ 85014. The listed phone number is (602) 596-1040.

What is Randy Whiteside Prosthetics LLC's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Randy Whiteside Prosthetics LLC was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.