Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871017137 Individual Practitioner Male Practitioner

Randall Scott Whiteside , CP

Prosthetist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Randall Whiteside, CP is a registered healthcare professional specializing in Prosthetist in Phoenix, AZ. Practice services are available at 1190 E MISSOURI AVE STE 190 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1190 E Missouri Ave Ste 190

Phoenix, AZ 850142736

Telephone 6023126605
Fax 4802125944
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Phoenix, AZ (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Secondary Practice Locations

5347 E Mockingbird Ln

Paradise Valley, AZ 852532521

Phone: 6023126605

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2017

Registered at 1190 E MISSOURI AVE STE 190, PHOENIX, AZ 850142736 (Tel: 6023126605)

📍
Updated Business Mailing Address July 28, 2017

Registered at 5347 E MOCKINGBIRD LN, PARADISE VALLEY, AZ 852532521

👤
Provider Name / Credentials Updated July 28, 2017

Recorded as RANDALL WHITESIDE, CP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Prosthetist

🟢
Initial NPI Registration & Enumeration July 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871017137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2017
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

5347 E Mockingbird Ln

Paradise Valley, AZ 852532521

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.