ELIZABETH A RANDOLPH P.A.-C
NPI 1689000713
Physician Assistant - Medical in Fairview Heights, IL
About Elizabeth A Randolph P.a.-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH A RANDOLPH P.A.-C (NPI 1689000713) is an individual medical provider in Fairview Heights, Illinois, licensed in Illinois (085.004815) and active in the NPI registry since September 2013.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
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 Elizabeth Randolph's NPI number?
The NPI number for Elizabeth Randolph is 1689000713. It was assigned to this individual provider in the NPPES registry on September 20, 2013.
Where is Elizabeth Randolph located?
Elizabeth Randolph practices at 5031 N Illinois St, Fairview Heights, IL 62208. The listed phone number is (618) 212-6800.
What is Elizabeth Randolph's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for Elizabeth Randolph was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Elizabeth A Randolph, P.A.-C · NPI 1689000713
Medical physician in Fairview Heights, Illinois. Individual provider, active in the CMS NPPES registry since September 20, 2013.
## Identity
- **NPI:** 1689000713 (Entity type: Individual)
- **Enumerated:** September 20, 2013
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 085.004815 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5031 N ILLINOIS ST, Fairview Heights, IL 62208-3453
- **Phone:** (618) 212-6800
## Record status
- **NPPES last updated:** September 20, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1689000713) · Data from the CMS NPPES public registry.