RANDALL KUNZE DPM LLC (NPI# 1215121629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215121629 |
| Entity Type | Organization |
| Organization Name | RANDALL KUNZE DPM LLC |
| Practice Address |
1503 Hazel St Carthage MO 64836-2829 |
| Mailing Address |
Po Box 424 Carthage MO 64836-0424 |
| Practice Telephone | 4173588566 |
| Practice Fax Number | 4173582428 |
| Mailing Telephone | 4173588566 |
| Mailing Fax Number | 4173582428 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | RANDALL KUNZE (OWNER) |
| Authorized Official Telephone | 4173588566 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
000634 | MO | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 000634 | MO | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 000634 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 139389 | 01 |
| MO | 506137108 | 05 | |
| MO | BCBS MO | 9912 | 01 |
| MC RAILROAD GROUP | DF2473 | 01 | |
| MO | 302951702 | 05 | |
| NE | MC RAILROAD | P00350052 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326121633 | Randall Kunze Dpm LLC | Clinic/Center | 1503 Hazel St, Carthage, MO 64836-2829 | 2006-10-23 |
| Street Address |
1503 HAZEL ST |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881662583 | Randall Kunze | Podiatrist | 1503 Hazel St, Carthage, MO 64836-2829 | 2006-03-09 |
| 1326121633 | Randall Kunze Dpm LLC | Clinic/Center | 1503 Hazel St, Carthage, MO 64836-2829 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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| 1568714137 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 945 Monroe St, Carthage, NC 28327-9339 | 2012-10-08 |
| 1689980146 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 7475 Nc Hwy 22, Carthage, NC 28327 | 2010-08-23 |
| 1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
| 1275632440 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 118 Canal Street, Carthage, NY 13619-1601 | 2006-09-22 |
| 1245339464 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 74 Dixon Springs Highway, Carthage, TN 37030-1063 | 2006-09-22 |
| 1477650976 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 801 W Panola St, Carthage, TX 75633-2335 | 2006-09-20 |
| 1083723571 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 1 North Broad Street, Carthage, NY 13619-9503 | 2006-08-29 |
| 1124037031 | Izzy Inc | Durable Medical Equipment & Medical Supplies | 106 N Shelby St, Carthage, TX 75633 | 2006-08-07 |
| 1366457301 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2737 S Grand Ave, Carthage, MO 64836-7907 | 2006-07-29 |
| Find all providers in CARTHAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.