DR. GEORGE RALPH RANDALL (NPI# 1497756886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497756886 |
| Entity Type | Individual |
| Full Name | DR. GEORGE RALPH RANDALL |
| Credential | MD |
| Practice Address |
310 S Hillside St Wichita KS 67211-2193 |
| Mailing Address |
818 N Emporia St Ste 200 Wichita KS 67214-3729 |
| Practice Telephone | 3166842838 |
| Practice Fax Number | 3166843326 |
| Mailing Telephone | 3162630296 |
| Mailing Fax Number | 3166843326 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 17060 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4070797 | 01 | |
| KS | PREFERRED PLUS OF KS | 758 | 01 |
| KS | FIRST GUARD | 10084850B | 01 |
| KS | WAL-MART | 101370 | 01 |
| CIGNA | 2745673005 | 01 | |
| KS | BLUE CROSS BLUE SHIELD | 101370 | 01 |
| KS | HEALTH PARTNERS OF KS | 200811 | 01 |
| KS | PREFERRED HEALTH SYSTEMS | 758 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538596515 | George Ethan Randall | Obstetrics & Gynecology | 1810 Tamarack Trl, Skaneateles, NY 13152 | 2013-10-04 |
| 1558478982 | George William Randall | Chiropractor | 703 W King Street, Kings Mountain, NC 28086 | 2006-08-23 |
| 1609428929 | George Randall Jr. | Social Worker | 6819 Reisterstown Rd Ste 203, Baltimore, MD 21215-1418 | 2019-07-16 |
| Street Address |
310 S HILLSIDE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67211-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099805 | Glenn Richard Kubina | Otolaryngology | 310 S Hillside St, Wichita, KS 67211-2193 | 2005-08-02 |
| 1811546591 | Sierra Gehrer | Speech-Language Pathologist | 310 S Hillside St, Wichita, KS 67211-2193 | 2019-09-05 |
| 1790290344 | Teresa A Cooper | Audiologist | 310 S Hillside St, Wichita, KS 67211-2129 | 2017-12-05 |
| 1750802062 | Casey Combs | Audiologist | 310 S Hillside St, Wichita, KS 67211-2193 | 2017-06-28 |
| 1083081186 | Ashleigh Guthrie | Audiologist | 310 S Hillside St, Wichita, KS 67211 | 2015-08-25 |
| 1972911501 | Chelsea Peyton | Audiologist | 310 S Hillside St, Wichita, KS 67211-2193 | 2014-07-28 |
| 1295096832 | Benjamin Hawley | Otolaryngology | 310 S Hillside St, Wichita, KS 67211-2129 | 2012-05-30 |
| 1437306933 | Christy Sidwell | Nurse Practitioner | 310 S Hillside St, Wichita, KS 67211-2129 | 2008-08-26 |
| 1275756132 | Matthew Stumpe | Otolaryngology | 310 S Hillside St, Wichita, KS 67211-2129 | 2007-04-10 |
| 1760484497 | Rebecca J Linot | Audiologist-Hearing Aid Fitter | 310 S Hillside St, Wichita, KS 67211-2129 | 2005-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871821876 | Richard J Cummings | Otolaryngology | 1258 Burning Tree Drive, Wichita, KS 67230-1410 | 2009-12-02 |
| 1821099805 | Glenn Richard Kubina | Otolaryngology | 310 S Hillside St, Wichita, KS 67211-2193 | 2005-08-02 |
| 1295096832 | Benjamin Hawley | Otolaryngology | 310 S Hillside St, Wichita, KS 67211-2129 | 2012-05-30 |
| 1710203146 | Preferred Medical Associates | Otolaryngology | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2010-04-09 |
| 1932356078 | Shaunda Marie Rodriguez | Otolaryngology | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2008-08-20 |
| 1275756132 | Matthew Stumpe | Otolaryngology | 310 S Hillside St, Wichita, KS 67211-2129 | 2007-04-10 |
| 1093731150 | Edward N Digges | Otolaryngology | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2006-07-14 |
| 1790720167 | Eldon K Sunderland | Otolaryngology | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-18 |
| 1215972724 | Randall S Regehr | Otolaryngology | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-18 |
| 1003851650 | Yoram B Leitner | Otolaryngology | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-18 |
| Find all providers in WICHITA | ||||
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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.