Gannon B Randolph is a Bentonville, Arkansas based male orthopedic surgeon with 24 years of experience in Orthopedic Surgery. He completed his graduation from Oregon Health Sciences University School Of Medicine in 2000. He is also affiliated with hospitals like Northwest Medical Center-springdale and Washington Regional 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 Gannon B Randolph is E5957 for Orthopaedic Surgery of the Spine in Arkansas.
Gannon B Randolph is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Gannon B Randolph 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:
Orthopedic - Orthopedic Surgery
Credentials:
M.D.
Experience:
24+ years
Medical School Attended:
Oregon Health Sciences University School Of Medicine
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1800 Se Moberly Ln, Bentonville, Arkansas, 72712-7017
Phone:
479-521-2752
Fax:
479-521-4603
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:
0941230619
Enrollment ID:
I20090327000295
NPI Number:
1528173697
NPI Enumeration Date:
20 Aug, 2006
NPI Last Update On:
12 Jul, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gannon B Randolph are as mentioned below.
License Number
Specialization
State
Status
E5957
Orthopaedic Surgery of the Spine
Arkansas
Primary
E5957
Orthopedic Surgery
Arkansas
Secondary
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
Northwest Medical Center-springdale (040022)
Springdale, AR
Acute Care Hospital
Washington Regional Medical Center (040004)
Fayetteville, AR
Acute Care Hospital
Mercy Hospital Northwest Arkansas (040010)
Rogers, AR
Acute Care Hospital
Siloam Springs Regional Hospital(040001)
Siloam springs, AR
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 Gannon B Randolph is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Orthopaedic Clinic Ltd (2860477189)
37
Other Medical Identifiers:
Other legacy medical identifiers associated with Gannon B Randolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1176259001
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3317 N Wimberly Dr, Fayetteville, Arkansas
Zip:
72703-4056
Phone Number:
479-521-2752
Fax Number:
479-521-4603
Patients can reach Gannon B Randolph at 1800 Se Moberly Ln, Bentonville, Arkansas or can call to book an appointment on 479-521-2752. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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