MEDICARE: MICHELLE RANDOLPH MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	7641	AK
2	207RG0100X	Gastroenterology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578806436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE RANDOLPH MD PC

Provider Business Mailing Address
First Line	:	2741 DEBARR ROAD SUITE 402
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508
Country	:	US
Telephone Number	:	907-531-5213
Fax Number	:	907-531-5013

Provider Business Practice Location Address
First Line	:	2741 DEBARR ROAD SUITE 402
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508
Country	:	US
Telephone Number	:	907-531-5213
Fax Number	:	907-531-5013

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHELLE LISA RANDOLPH
Credential	:	MD
Telephone Number	:	808-295-6058

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	10/28/2020

Similar Medicare Providers

1467192740 — DR. ALEKSANDRA KATARZYNA RADZIO M.U.DR
Practice Location Address:

4320 DIPLOMACY DR
ANCHORAGE, AK
99508-5925

Practice Phone: 907-729-7269
Practice Fax: 907-729-5180

1871425264 — MINDCARE SOLUTIONS OF ALASKA, P.C.
Practice Location Address:

2801 DEBARR RD
ANCHORAGE, AK
99508-2932

Practice Phone: 330-536-3746
Practice Fax:

1912013160 — DIALYSIS ASSOCIATES OF ALASKA, LLC
Practice Location Address:

3950 LAUREL ST
ANCHORAGE, AK
99508-5333

Practice Phone: 907-261-4840
Practice Fax: 469-833-4858

1730011719 — ETELAGI ORR NIUPULUSU
Practice Location Address:

2345 MAPLEWOOD ST
ANCHORAGE, AK
99508-4055

Practice Phone: 907-258-6956
Practice Fax:

1851238562 — SIDNEY FOURNIER DO
Practice Location Address:

1201 E 36TH AVE
ANCHORAGE, AK
99508-4372

Practice Phone: 907-562-9229
Practice Fax:

1902748817 — ALASKA EYECARE PROFESSIONALS LLC
Practice Location Address:

4015 LAKE OTIS PKWY STE 100
ANCHORAGE, AK
99508-5235

Practice Phone: 907-250-5300
Practice Fax: 855-729-1235

1972436608 — MAUREEN ANNETTE JACKSON
Practice Location Address:

3600 SAN JERONIMO DR
ANCHORAGE, AK
99508-2870

Practice Phone: 907-793-3159
Practice Fax:

Directions to “MICHELLE RANDOLPH MD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.