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GREGORY E. RANDOLPH PA-C
NPI 1912949124
Physician Assistant in Gladbrook, IA

Active since June 12, 2006
309 2ND ST, GLADBROOK, IA 50635(641) 473-2707(641) 473-2641 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory E. Randolph Pa-c NPPES

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

GREGORY E. RANDOLPH PA-C (NPI 1912949124) is an individual physician assistant in Gladbrook, Iowa, licensed in Iowa (000693) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1912949124
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGREGORY E. RANDOLPHCredential: PA-C
Location Address309 2ND STGladbrook, IA 50635
Mailing Address2101 Kimball Ave, Ll14Waterloo, IA 50702-5063 · (319) 272-1590 · Fax (319) 272-1535
Phone(641) 473-2707
Fax(641) 473-2641
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 16, 2007
✔ NPI 1912949124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 000693
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.
309 2ND ST, Gladbrook, IA 50635
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Other Identifiers 2

Medicare PIN12585IA
Medicare UPINR80986IA

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 Gregory Randolph's NPI number?

The NPI number for Gregory Randolph is 1912949124. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Gregory Randolph located?

Gregory Randolph practices at 309 2nd St, Gladbrook, IA 50635. The listed phone number is (641) 473-2707.

What is Gregory Randolph'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 Gregory Randolph was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.