Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Randall Dermatology, PC

Dermatology Physician in West Lafayette Bra, IN · enumerated 2006 · authorized official John Randall, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245340488

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Registry record

Entity type Organization (Type 2)

Legal business name Randall Dermatology, PC

Practice address 124 Sagamore Pkwy W, West Lafayette Bra, IN, 47906

Phone (765) 463-6722

Fax (765) 463-0905

Enumeration date Aug 30, 2006

Last updated in NPPES Dec 19, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 01042716 (IN) Primary

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License 01042716 (IN) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10000699A (IN) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 710013695B (IN) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71001017A (IN) Secondary

Authorized official

Name John Randall

Title President/Owner

Phone (765) 463-6722

Other identifiers

Identifier	Type	State	Issuer
200207110A	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Randall Dermatology, PC located?

The practice location on file with NPPES is in West Lafayette Bra, IN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-12-19. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Laura Wavra Family Nurse Practitioner · West Lafayette, IN NPI 1003876434 Theresa Coyner Nurse Practitioner · West Lafayette, IN NPI 1790711828 Katrina Masterson Nurse Practitioner · West Lafayette, IN NPI 1164459863 John Randall MOHS-Micrographic Surgery Physician · West Lafayette, IN NPI 1326076530 Kathy Arnold Nurse Practitioner · West Lafayette Bra, IN NPI 1275562829 Nicole Sherer Nurse Practitioner · West Lafayette, IN NPI 1225282049 Shelley Velickoff Dermatology Physician · West Lafayette, IN NPI 1811246531

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-19.