| Mr Rory Eric Randall, CNP | |
| 
					11100 Euclid Ave, Seidman Cancer Center Rm 1830, Cleveland, OH 44106-1716  | |
| (216) 286-3826 | |
| (216) 286-3864 | 
| Full Name | Mr Rory Eric Randall | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Adult Health | 
| Location | 11100 Euclid Ave, Cleveland, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619370905 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.305782-COA1 (Ohio) | Secondary | 
| 363LA2200X | Nurse Practitioner - Adult Health | COA.16607-NP (Ohio) | Primary | 
| Entity Name | University Hospitals Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Rory Eric Randall, CNP 11100 Euclid Ave, Seidman Cancer Center Rm 1830, Cleveland, OH 44106-1716 Ph: (216) 286-3826  | Mr Rory Eric Randall, CNP 11100 Euclid Ave, Seidman Cancer Center Rm 1830, Cleveland, OH 44106-1716 Ph: (216) 286-3826  | 
Kristin R Johnson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273  | |
Mrs. Tonya Renee Goings, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Suite Rc25, Cleveland, OH 44195 Phone: 216-444-2200  | |
Ms. Dana Anne Rubis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, G58, Cleveland, OH 44195 Phone: 216-444-5086 Fax: 216-444-7360  | |
Denise Louise Page, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2273  | |
Mrs. Maureen Patrice Mcgoff Allen, BSN-RN, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-5329 Fax: 216-445-1521  | |
Anne M Tomsich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Q10-1, Cleveland, OH 44195 Phone: 216-444-0415 Fax: 216-445-2267  | |
Mrs. Allison Leigh Pullum, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, C25, Cleveland, OH 44195 Phone: 216-445-1583 Fax: 216-444-9890  |