RANDALL SURGICAL GROUP, INC
NPI 1770620023
Surgery in Providence, RI

Q: What is Randall Surgical Group, Inc's NPI number?

The NPI number for Randall Surgical Group, Inc is 1770620023. It was assigned to this organization in the NPPES registry on January 30, 2007.

Q: What is Randall Surgical Group, Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since January 30, 2007

1 RANDALL SQ, SUITE 406, PROVIDENCE, RI 02904(401) 421-2928(401) 454-5989 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Randall Surgical Group, Inc NPPES

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

RANDALL SURGICAL GROUP, INC (NPI 1770620023) is a healthcare organization registered as a surgery in Providence, Rhode Island and active in the NPI registry since January 2007. The organization lists David Robert Cloutier, Vice President, as its authorized official.

NPPES Registry Identity

NPI1770620023

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameRANDALL SURGICAL GROUP, INC

Location Address1 RANDALL SQ, SUITE 406Providence, RI 02904-2709

Mailing Address1 Randall Sq, Suite 406Providence, RI 02904-2709 · (401) 421-2928 · Fax (401) 454-5989

Phone(401) 421-2928

Fax(401) 454-5989

Organization SubpartNo

Authorized OfficialDavid Robert CloutierVice President · (401) 421-2928

Enumeration DateJanuary 30, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1770620023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 RANDALL SQ, Providence, RI 02904

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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 20

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

PHINA A MAYU NP

Nurse Practitioner (Adult Health)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

MAYELIN PACHECO NUNEZ NP

Nurse Practitioner (Family)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

STANLEY H. BLOCK MD

Allergy & Immunology

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 444-0414

DR. JAMES J YASHAR M.D

Specialist

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (140) 196-5777

THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

PAUL W WEHBE MD

Pediatrics

1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904

Providence County (401) 861-5183

CARDIOLOGY CONSULTANTS, LLC

Internal Medicine (Cardiovascular Disease)

1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904

Providence County (401) 223-0223

BRIANA J. WALSH NP

Nurse Practitioner (Family)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

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 Surgical Group, Inc's NPI number?

The NPI number for Randall Surgical Group, Inc is 1770620023. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Randall Surgical Group, Inc located?

Randall Surgical Group, Inc is located at 1 Randall Sq Suite 406, Providence, RI 02904. The listed phone number is (401) 421-2928.

What is Randall Surgical Group, Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Randall Surgical Group, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.