DR. HENRY B RANDALL (NPI# 1801817226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801817226 |
Entity Type | Individual |
Full Name | DR. HENRY B RANDALL |
Credential | M.D. |
Practice Address |
4320 Wornall Rd Suite 240 Kansas City MO 64111-5941 |
Mailing Address |
Po Box 504407 Saint Louis MO 63150-4407 |
Practice Telephone | 8169327900 |
Mailing Telephone | 8169327940 |
Mailing Fax Number | 8169327957 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2012-01-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | 2010016523 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1801817226 | 05 |
Street Address |
4320 WORNALL RD SUITE 240 |
City | KANSAS CITY |
State | MO |
Zip Code | 64111-5941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477556215 | Paul W Jenkins Jr. | Physician Assistant | 4320 Wornall Rd, Ste 50-ii, Kansas City, MO 64111-5941 | 2005-05-24 |
1487187316 | Suzanne D Cummings | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2017-04-07 |
1992256069 | Jackie Wallman | Occupational Therapist | 4320 Wornall Rd, Suite 600, Kansas City, MO 64111-5941 | 2016-10-24 |
1053868877 | Chelsea J. Light | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-09-09 |
1730532250 | Brittany Lynn Walker | Registered Nurse | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2016-07-20 |
1184084535 | Justine Uryasz | Nurse Practitioner | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-02-28 |
1104290600 | Christina L Cooper | Registered Nurse | 4320 Wornall Rd, Suite 710, Kansas City, MO 64111-5941 | 2015-11-20 |
1295105914 | Rebecca Miller | Physician Assistant | 4320 Wornall Rd, Suite 304, Kansas City, MO 64111-5941 | 2015-10-07 |
1891179602 | Lauren Ann Ori | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2015-07-13 |
1053794263 | Emily Johnston | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2015-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
Find all providers in zip 64111 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134248016 | Sean C. Kumer | Transplant Surgery | 3901 Rainbow Blvd # Ms 1072, Center for Transplantation, Kansas City, KS 66160-8500 | 2007-03-29 |
1558627612 | Matthew Bruce Wilkinson | Transplant Surgery | 4320 Wornall Rd Ste 240, Kansas City, MO 64111-5955 | 2012-04-03 |
1548416969 | Lee S Cummings | Transplant Surgery | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2008-08-18 |
1336317494 | Saint Luke's Hospital Physician Billing Services, LLC | Transplant Surgery | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2008-02-12 |
1578517389 | Eddie R Island | Transplant Surgery | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2006-05-19 |
1912998329 | Daniel Murillo | Transplant Surgery | 6400 Prospect Ave, Suite 328, Kansas City, MO 64132-1100 | 2005-11-03 |
1275522286 | Rmc Transplant Physicians LLC | Transplant Surgery | 6400 Prospect Ave, Suite 646, Kansas City, MO 64132-1100 | 2005-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083665574 | Chintalapati Varma | Transplant Surgery | 3660 Vist Ave. At Grand Blvd., Ste. 320, St. Louis, MO 63110 | 2006-05-12 |
1851734784 | Seung-hee Suzie Lee | Transplant Surgery | 4921 Parkview Pl, Ste 8c, Saint Louis, MO 63110-1032 | 2013-04-10 |
1043576101 | Teresa Catherine Rice | Transplant Surgery | 4921 Parkview Pl, Ste 8c, Saint Louis, MO 63110-1032 | 2012-04-03 |
1952558926 | Mustafa D.m Nazzal | Transplant Surgery | 3635 Vista Ave, Fdt 11th Floor, Saint Louis, MO 63110-2539 | 2008-08-21 |
1013182120 | Dominic Emmanuel Sanford | Transplant Surgery | 11155 Dunn Rd, Ste 108n, Saint Louis, MO 63136-6150 | 2008-04-29 |
1134331382 | Jason Reid Wellen | Transplant Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2007-05-03 |
1841419470 | St Louis University | Transplant Surgery | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-24 |
1700903820 | Maria Bernadette Doyle | Transplant Surgery | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2007-03-23 |
1407950017 | Paul James Garvin | Transplant Surgery | 10004 Kennerly Rd, Ste 330a, Saint Louis, MO 63128-2175 | 2006-09-12 |
1184727372 | Harvey Solomon | Transplant Surgery | 3635 Vista, Saint Louis, MO 63110 | 2006-09-06 |
Find all providers with the same taxonomy |
City | KANSAS CITY |
Zip Code | 64111 |
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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.