Randall L Dyk
MD | Pediatrics | Male
Randall L Dyk, MD is a Kalamazoo, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Randall L Dyk is
5629 Stadium Dr, Kalamazoo, Michigan - 49009-1952. He can be contacted on phone at
269-372-1000 and fax number 269-372-0698.
Randall L Dyk is a sole proprietor of his business.
NPI number (Unique professional ID) for Randall L Dyk is
1033199674 which was assigned by NPPES on 19 Jan, 2006 and it was last updated on 06 Oct, 2020.
Randall L Dyk license number is
4301076181 for Pediatrics (208000000X) in Michigan.
Randall L Dyk is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Randall L Dyk basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Randall L Dyk |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Randall L Dyk address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5629 Stadium Dr
Kalamazoo, MI, 49009-1952
United States |
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| Phone Number : | 269-372-1000 |
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| Fax Number : | 269-372-0698 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033199674 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jan, 2006 |
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| Last Updated On : | 06 Oct, 2020 |
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Medicare Participation:
Randall L Dyk participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1951438431 |
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| Medicare Enrollment ID : | I20100415000465 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Michigan State University College Of Human Medicine |
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| Graduation Year : | 2000 |
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| Accepts Medicare? | Yes. Randall L Dyk accepts medicare insurance. |
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Group Practice Association:
Randall L Dyk is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Randall L Dyk is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Bronson Methodist Hospital | 0244148633 | 576 | 5629 Stadium Dr A
Kalamazoo, MI - 490091952
Ph: 2693721000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall L Dyk are as mentioned. Primary taxonomy code for Randall L Dyk, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301076181 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Randall L Dyk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| CA4396 | Other | MI | RAILROAD MEDICARE |
| 4630842 | MEDICAID | MI | |
| 4526826 | MEDICAID | MI | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | direct@direct.bronsonhg.org
Bronson Healthcare Group Direct address | | DIRECT
Direct
| OTHER
Other
Continuity of Care Document | 601 JOHN ST,
KALAMAZOO, MI, 49007-5341
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5629 Stadium Dr
Kalamazoo, MI, 49009-1952
United States |
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| Phone Number : | 269-372-1000 |
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| Fax Number : | 269-372-0698 |
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Business Location:
Patients can refer following map for directions to
Randall L Dyk practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.