RANDALL KUNZE DPM LLC (NPI# 1326121633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326121633 |
| 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 | 2006-10-23 |
| Last Update Date | 2008-10-01 |
| Authorized Official Name | DR. RANDALL KUNZE (OWNER MANAGER PHYSICIAN) |
| Authorized Official Telephone | 4173588566 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
000634 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS MO STANDARD | 9912 | 01 |
| MO | 302951702 | 05 | |
| MO | 506137108 | 05 | |
| MO | MEDICARE RAILROAD | 480033764 | 01 |
| MO | 626137103 | 05 | |
| MO | 139369 | HEALTHLINK | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215121629 | Randall Kunze Dpm LLC | Durable Medical Equipment & Medical Supplies | 1503 Hazel St, Carthage, MO 64836-2829 | 2007-08-29 |
| 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 |
| 1215121629 | Randall Kunze Dpm LLC | Durable Medical Equipment & Medical Supplies | 1503 Hazel St, Carthage, MO 64836-2829 | 2007-08-29 |
| 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 | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831356567 | Debra J Williams Podiatrist PC | Clinic/Center | 720 State St, Carthage, NY 13619-1404 | 2008-05-20 |
| 1467608026 | Debra J Williams Podiatrist PC | Clinic/Center | 720 State St, Carthage, NY 13619-1404 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829565 | Best Foot Forward Corp | Clinic/Center | 8790 Watson Rd Ste 103, Saint Louis, MO 63119-5140 | 2020-10-19 |
| 1093019713 | First Step Foot and Ankle | Clinic/Center | 806 Hwy 72 E, Rolla, MO 65401 | 2011-01-10 |
| 1215103536 | Southwest Foot Clinic, LLC | Clinic/Center | 2531 B East 32nd St, Joplin, MO 64804 | 2008-05-06 |
| 1437331790 | Advanced Foot Care Center, PC | Clinic/Center | 828 Sw Blue Pkwy, Lees Summit, MO 64063-3805 | 2007-11-28 |
| 1427614601 | Best Foot Forward Corp | Clinic/Center | 1455 Us Highway 61, Festus, MO 63028-4157 | 2019-05-14 |
| 1659685048 | Midwest Foot and Ankle Surgeons LLC | Clinic/Center | 1000 Des Peres Rd, Suite 120, Saint Louis, MO 63131-2050 | 2010-07-28 |
| 1447425988 | Missouri Podiatric Surgicare LLC | Clinic/Center | 851 E 5th St, Suite 228, Washington, MO 63090-3135 | 2008-04-25 |
| 1639366248 | Advanced Foot & Ankle Center Inc | Clinic/Center | 185 Oak Glenn, Cape Girardeau, MO 63701-8263 | 2007-09-27 |
| 1538384300 | Tracy M Reed, Dpm,llc | Clinic/Center | 5937 W Florissant Ave, Saint Louis, MO 63136-4952 | 2007-04-16 |
| 1922144344 | West Plains Foot and Ankle Clinic PC | Clinic/Center | 1566 Imperial Ctr, West Plains, MO 65775-1818 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
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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.