Individual
RANDALL K. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N OAK ST, SUITE F, COLUMBIA CITY, IN 46725-1600
(260) 248-9090
(260) 248-9095
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01020756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376732
ANTHEM
IN
05
—
100262990
—
IN
01
—
1152
PHYSICIANS HEALTH PLAN
IN
01
—
P00262546
RAILROAD MEDICARE
IN
Enumeration date
12/22/2005
Last updated
03/19/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us