GURPREET RANDHAWA MD PA (NPI# 1609080969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609080969 |
| Entity Type | Organization |
| Organization Name | GURPREET RANDHAWA MD PA |
| Other Organization Name | RANDHAWA PEDIATRICS |
| Practice Address |
1411 W 15th St #202 Liberal KS 67901-2285 |
| Practice Telephone | 6206265033 |
| Practice Fax Number | 6206247881 |
| Mailing Telephone | 6206265033 |
| Mailing Fax Number | 6206247881 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2012-06-04 |
| Authorized Official Name | MRS. JEIVEN RANDHAWA (MANAGER) |
| Authorized Official Telephone | 6206265033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0428472 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100362020B | 05 | |
| KS | BCBS GROUP | 110692 | 01 |
| KS | BCBS | 103220 | 01 |
| Other Name | Type Code |
|---|---|
| RANDHAWA PEDIATRICS | Doing Business As Name - Organization |
| Street Address |
1411 W 15TH ST #202 |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558355586 | John A Buie | Surgery | 1411 W 15th St, Suite 302, Liberal, KS 67901 | 2005-09-06 |
| 1831538404 | Bradley J Rachow | Dentist | 1411 W 15th St, Ste 301, Liberal, KS 67901-2288 | 2013-06-17 |
| 1487841474 | Anthony J Canfield Md Facs, L | Surgery | 1411 W 15th St, Suite 302, Liberal, KS 67901-2288 | 2007-10-03 |
| 1093709925 | Kim A Yount | Dentist | 1411 W 15th St, Liberal, KS 67901-2285 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154747871 | Liberal Urgent Care LLC | Pediatrics | 2132 N Kansas Ave Ste A, Liberal, KS 67901-2099 | 2014-03-06 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1437114899 | Charlotte L Seago | Pediatrics | 1411 W 15 Street, Suite 302, Liberal, KS 67901-2285 | 2006-04-19 |
| 1831168673 | Mariana E Lucero | Pediatrics | 2132 N Kansas Ave Ste B, Liberal, KS 67901-2099 | 2006-03-15 |
| 1942299367 | Nargis Husainy | Pediatrics | 23 E 11th St, Liberal, KS 67901-2720 | 2005-10-18 |
| 1548408396 | South West Pediatrics & Adolescent Medicine Pa | Pediatrics | 23 E 11th St, Liberal, KS 67901-2720 | 2009-02-02 |
| 1902076060 | Mariana E. Lucero, M.d., Chartered | Pediatrics | 2132 N Kansas Ave Ste B, Liberal, KS 67901-2099 | 2008-03-05 |
| 1386667731 | Gurpreet Singh Randhawa | Pediatrics | 555 W 15th St, Ste A, Liberal, KS 67901-2468 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941306 | Heartland Medical Clinic, Inc | Pediatrics | 1803 W 6th St, Lawrence, KS 66044-1710 | 2020-10-29 |
| 1083239412 | K S Pediatrics LLC | Pediatrics | 6505 E Central Ave Ste 183, Wichita, KS 67206-1924 | 2020-06-11 |
| 1033763461 | Children's Mercy-leawood Pediatrics Inc | Pediatrics | 5401 College Blvd Ste 101, Leawood, KS 66211-1617 | 2019-07-24 |
| 1104484245 | Children's Mercy-shawnee Mission Pediatrics, Inc | Pediatrics | 7450 Kessler Ln Ste 105, Merriam, KS 66204-2361 | 2019-06-04 |
| 1184281131 | Kansas Pediatric Neurology Center LLC | Pediatrics | 10111 E 21st St N Ste 405, Wichita, KS 67206-3508 | 2019-05-24 |
| 1992239115 | Tomica Dawn Blocker | Pediatrics | Cottonwood Pediatrics, Pa, 700 Medical Center Drive, Ste 150, Newton, KS 67114-9015 | 2017-04-13 |
| 1811438013 | Lauren Hughes | Pediatrics | 2870 W 47th Ave, Kansas City, KS 66103-3243 | 2017-03-20 |
| 1740639509 | Dan Albert Kelly | Pediatrics | 4604 Sw Crenshaw Dr, Topeka, KS 66610-1656 | 2016-06-11 |
| 1104280080 | Cody Jorgensen | Pediatrics | 7846 Garnett St, Lenexa, KS 66214-1417 | 2016-04-07 |
| 1245694181 | Alicia Christina Wolfe | Pediatrics | 12541 Foster St Ste 260, Overland Park, KS 66213-2301 | 2016-04-06 |
| 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.