Randy Arlen Alanko, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14676 Issued in OR

Practice address

3705 Midway Dr
Baker City, OR 97814-1456

Phone

(541) 523-4497

Fax

(541) 523-5471

NPI assigned

Jul 23, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle Cap Clinic Inc PC

  • General Practice Physician
  • Baker City, OR
  • NPI 1356424451
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1932309309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978140069",
            "telephone_number": "541-523-4497",
            "fax_number": "541-523-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MIDWAY DR",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141456",
            "telephone_number": "541-523-4497",
            "fax_number": "541-523-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALANKO",
        "first_name": "RANDY",
        "middle_name": "ARLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "14676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175828",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287777",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Corinne Adams, NBC-HWC
• Jacquelyn Denise Adams, DNP, FNP
• Jamie Lynn Agard
• James Aaron Ahhee, MOT, OTR/L
• Janet Alanko
• Jessica Allen, DPT
• Stephenie A Allen
• William Z Allen, PA
• Lydia Florence Andersen
• Marilyn Lois Anderson-Labeau, PHARMD

• Family Medicine Physician in Baker City, OR
• Providers in Baker City, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.