RANDY J SHINN (NPI# 1538119458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538119458 |
| Entity Type | Individual |
| Full Name | RANDY J SHINN |
| Credential | MD |
| Practice Address |
12 E Appleby Rd Ste 101 Fayetteville AR 72703-3901 |
| Practice Telephone | 4794634444 |
| Practice Fax Number | 4794634499 |
| Mailing Telephone | 4794634444 |
| Mailing Fax Number | 4794634499 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
E2220 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 138360001 | 05 | |
| AR | BLUE | 5L296 | 01 |
| Street Address |
12 E APPLEBY RD STE 101 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710943659 | Kim R Sheets | Nurse Practitioner | 12 E Appleby Rd, Ste 101, Fayetteville, AR 72703-3901 | 2006-04-20 |
| 1831620509 | Kelsey Lovingood Harper | Physician Assistant | 12 E Appleby Rd, Fayetteville, AR 72703-3901 | 2017-03-24 |
| 1114385374 | Tiffany Michelle Jackson | Nurse Practitioner | 12 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3901 | 2016-02-03 |
| 1336514322 | Lauren Hays | Speech-Language Pathologist | 12 E Appleby Rd, Suite 104, Fayetteville, AR 72703-3901 | 2015-12-02 |
| 1073987590 | Washington Regional Medical System | Physical Therapist | 12 E Appleby Rd, Suite 104, Fayetteville, AR 72703-3901 | 2015-11-20 |
| 1669877668 | Washington Regional Medical Center | Dentist | 12 E Appleby Rd, Suite 102, Fayetteville, AR 72703-3901 | 2014-11-03 |
| 1073745873 | Emily J Coombs | Nurse Practitioner | 12 E Appleby Rd, Suite 101, Fayetteville, AR 72703 | 2009-08-13 |
| 1821234105 | Melissa L Rogers | Social Worker | 12 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3901 | 2008-12-17 |
| 1861641144 | Gillian G Woods | Counselor | 12 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3901 | 2008-09-11 |
| 1215972252 | Antoinette Lynn Hartman | Nurse Practitioner | 12 E Appleby Rd, Ste 101, Fayetteville, AR 72703-3901 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942269675 | Lorenzo Castillejo Briones | Internal Medicine | 2100 Ramsey St, Fayetteville, NC 28301-3854 | 2006-03-21 |
| 1912957820 | Mary Teresa Shinn | Internal Medicine | 12 E Appleby Rd, Ste 101, Fayetteville, AR 72703-3901 | 2006-05-11 |
| 1902884364 | Adebukola Taiwo | Internal Medicine | 101 Robeson St, Suite 202, Fayetteville, NC 28301-5552 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992239479 | Bushra Shah Md Pllc | Internal Medicine | 100 Vigne Dr, Little Rock, AR 72223-4581 | 2017-04-12 |
| 1245580539 | Geriatrics Consulting Services Ltd | Internal Medicine | 120 Dellmere Drive, Hot Springs, AR 71913 | 2012-09-13 |
| 1154443372 | Kalpana P Padala | Internal Medicine | 629 Jack Stephens Dr, Little Rock, AR 72205-5525 | 2007-04-06 |
| 1811059363 | Paula M. Podrazik | Internal Medicine | 4301 W. Markham, #783, Little Rock, AR 72205-7101 | 2006-12-14 |
| 1508956079 | David Lipschitz | Internal Medicine | 415 N Mckinley, Suite 130, Little Rock, AR 72205-3013 | 2006-10-13 |
| 1982711891 | Linda Hammond Williams | Internal Medicine | 2200 Fort Roots Dr # 111/nlr, North Little Rock, AR 72114-1709 | 2006-08-24 |
| 1740294032 | Maria Cristina M Judit | Internal Medicine | 4077 Elm Springs Rd, Springdale, AR 72762-3748 | 2006-07-29 |
| 1245268424 | Stephen R. Maes | Internal Medicine | 825 N Spring St, Suite F, Harrison, AR 72601-2942 | 2006-06-28 |
| 1407890213 | Crittenden Memorial Hospital | Internal Medicine | 304 S Rhodes St, West Memphis, AR 72301-4215 | 2006-06-15 |
| 1497712640 | Jose Albert Ang Fontanilla Jr. | Internal Medicine | 4077 Elm Springs Rd Ste 105, Springdale, AR 72762-3703 | 2006-04-28 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on RANDY J SHINN.
| 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.