Doctor Name: | RANDALL K. CARPENTER |
NPI Number: | 1629055439 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01020756A |
Business Practice Address: | 333 N Oak St Suite F Columbia City, IN - 467251600 |
Business Phone Number: | 2602489090 |
Business Fax Number: | 2602489095 |
Mailing Address: | 1234 E Dupont Rd, Suite 1 FORT WAYNE |
State: | IN |
Postal Code: | 468251545 |
Phone Number: | 2603739700 |
Fax Number: | 2603739740 |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 01020756A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |