Mr. Randolph Charles Fish
D.P.M. | Podiatrist - Primary Podiatric Medicine | 46+ years Exp
Medicare Enrolled
915 So. 76th St., Tacoma
Washington, 98408-2902
253-584-9530 360-427-2769
Maps & DirectionsMr. Randolph Charles Fish is a Tacoma, Washington based podiatrist with 46 years of experience in Primary Podiatric Medicine. He completed his graduation from Temple University School Of Podiatric Medicine in 1979. He is also affiliated with hospitals like Grays Harbor Community Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Randolph Charles Fish for Primary Podiatric Medicine is 91-1813864 in Washington.
Mr. Randolph Charles Fish provides care, treatment and management of the diabetic, elderly and circulation-impaired. The diagnosis, intervention and treatment on time may save patients from amputation, restore mobility or prevent other serious, more costly problems. By early detection patients can get appropriate treatment and prevent more serious problems.
Complete Profile:
Mr. Randolph Charles Fish 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: | Primary Podiatric Medicine |
| Credentials: | D.P.M. |
| Experience: | 46+ years |
| Medical School Attended: | Temple University School Of Podiatric Medicine |
| Graduation Year: | 1979 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 915 So. 76th St., Tacoma, Washington, 98408-2902 |
| Phone: | 253-584-9530 |
| Fax: | 360-427-2769 |
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: | 9638123045 |
| Enrollment ID: | I20050309000284 |
| NPI Number: | 1063493559 |
| NPI Enumeration Date: | 10 Nov, 2005 |
| NPI Last Update On: | 08 Apr, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Randolph Charles Fish are as mentioned below.
| License Number | Specialization | State | Status | |
| 91-1813864 | Primary Podiatric Medicine | Washington | Primary | |
| PO00000297 | Podiatric Foot Surgery | Washington | Secondary | |
Hospital Affiliation:
Doctors 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 |
| Grays Harbor Community Hospital (500031) | Aberdeen, WA | Acute Care Hospital |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Randolph Charles Fish such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2041494 | Medicaid | Washington | |
| 2041490 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 915 So. 76th St, Tacoma, Washington |
| Zip: | 98408-2902 |
| Phone Number: | 253-584-9530 |
| Fax Number: | 360-427-2769 |
Patients can reach Mr. Randolph Charles Fish at
915 So. 76th St., Tacoma, Washington or can
call to book an appointment on 253-584-9530.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.