Dr. Jacob Russell Randich is a Sikeston, Missouri based male podiatrist with 5 years of experience in Podiatry. He completed his graduation from William M. Scholl College Of Podiatric Medicine in 2019. He is also affiliated with hospitals like Missouri Delta Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jacob Russell Randich for Podiatry is 135.001050 in Illinois. Dr. Jacob Russell Randich is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Jacob Russell Randich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
5+ years
Medical School Attended:
William M. Scholl College Of Podiatric Medicine
Graduation Year:
2019
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
203 Plaza Drive, Sikeston, Missouri, 63801
Phone:
573-475-6488
Fax:
573-475-6489
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3274915079
Enrollment ID:
I20220726002090
NPI Number:
1922668755
NPI Enumeration Date:
14 Jun, 2019
NPI Last Update On:
20 Nov, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacob Russell Randich are as mentioned below.
License Number
Specialization
State
Status
135.001050
Podiatry
Illinois
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Missouri Delta Medical Center (260113)
Sikeston, MO
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jacob Russell Randich is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Missouri Delta Medical Center (1355252891)
63
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
203 Plaza Drive, Sikeston, Missouri
Zip:
63801
Phone Number:
573-475-6488
Fax Number:
573-475-6489
Patients can reach Dr. Jacob Russell Randich at 203 Plaza Drive, Sikeston, Missouri or can call to book an appointment on 573-475-6488. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.