Active NPI
Randall M Raziano, MD PA
- Vascular & Interventional Radiology Physician
- Montrose, CO
National Provider Identifier
1366633083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 44856
- Legal business name
- RANDALL M RAZIANO, MD PA
- Practice address
- 800 S 3Rd St
Montrose, CO 81401-4212 - Phone
- (970) 249-2211
- Fax
- (970) 240-7745
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall M Raziano, MD
- Title
- Owner
- Phone
- (970) 249-2211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 44856 | CO | Primary |
Addresses
Primary practice location
800 S 3Rd St
Montrose, CO 81401-4212
Mailing address
3225 Monte Vista Cir
Montrose, CO 81401-4196
Phone (970) 249-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05754046 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1366633083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 MONTE VISTA CIR",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014196",
"telephone_number": "970-249-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S 3RD ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014212",
"telephone_number": "970-249-2211",
"fax_number": "970-240-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDALL M RAZIANO, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "RAZIANO",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-249-2211",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CO",
"license": "44856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05754046",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.