MR. RANDY J TARVIN (NPI# 1952396905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952396905 |
| Entity Type | Individual |
| Full Name | MR. RANDY J TARVIN |
| Credential | MD |
| Practice Address |
1741 Ne Douglas St Suite 200 Lees Summit MO 64086-4703 |
| Mailing Address |
8550 Marshall Dr Suite 220 Lenexa KS 66214-1505 |
| Practice Telephone | 8162460200 |
| Practice Fax Number | 8162460220 |
| Mailing Telephone | 8162460200 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2009-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0422753 | KS | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD 111602 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1741 NE DOUGLAS ST SUITE 200 |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828670 | Janelle Rae Hollingsworth | Nurse Practitioner | 1741 Ne Douglas St, Ste 200 Encompass- Lee's Summit Office, Lees Summit, MO 64086-4703 | 2005-08-22 |
| 1831642743 | Ashley Murphy | Nurse Practitioner | 1741 Ne Douglas St, Suite 200, Lees Summit, MO 64086-4703 | 2016-07-27 |
| 1932576758 | Serc Rehabilitation Partners LLC | Clinic/Center | 1741 Ne Douglas St, Ste 202, Lees Summit, MO 64086-4703 | 2015-08-27 |
| 1366849002 | Vanessa Beachner | Physical Therapist | 1741 Ne Douglas St, Ste 202, Lees Summit, MO 64086-4703 | 2014-11-24 |
| 1568712651 | Jeremy Skeens | Physical Therapist | 1741 Ne Douglas St, Ste 202, Lees Summit, MO 64086-4703 | 2012-09-15 |
| 1366695348 | Nicole R. Smith | Nurse Practitioner | 1741 Ne Douglas St, Ste. 200, Lees Summit, MO 64086-4703 | 2008-11-04 |
| 1649457623 | Advanced Pt LLC | Physical Therapist | 1741 Ne Douglas St, Ste 202, Lees Summit, MO 64086-4703 | 2008-01-22 |
| 1184762270 | Surgical Services, P.a. | Specialist | 1741 Ne Douglas St, Suite 102, Lees Summit, MO 64086-4703 | 2007-02-02 |
| 1821107939 | Gregory W Boyd | Family Medicine | 1741 Ne Douglas St, Ste 200, Lees Summit, MO 64086-4703 | 2006-08-30 |
| 1417909672 | Norman Mutchnick | Specialist | 1741 Ne Douglas St, Suite102, Lees Summit, MO 64086-4703 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1174834360 | Craig Steven Ostrander | Family Medicine | 517 Se 2nd St Ste A, Lees Summit, MO 64063-2629 | 2010-06-23 |
| 1265605331 | Kelly Anne O'brien | Family Medicine | 600 Nw Murray Rd Ste 210, Lees Summit, MO 64081-1245 | 2008-04-09 |
| 1902099500 | Summit Skin Care Incorporated | Family Medicine | 3521 Ne Ralph Powell Rd Ste C, Lees Summit, MO 64064-2324 | 2007-08-27 |
| 1467583393 | Carl Spencer Davis | Family Medicine | 801 Ne Anderson Ln, Lees Summit, MO 64064-1244 | 2007-03-09 |
| 1013019579 | John William Klema IIi | Family Medicine | 4963 Ne Goodview Cir Ste B, Lees Summit, MO 64064-2491 | 2006-09-03 |
| 1619088879 | Ramon L Nichols | Family Medicine | 2741 Ne Mcbaine Dr, Lees Summit, MO 64064-7880 | 2006-08-31 |
| 1912015389 | Joy Eleanor Cuezze | Family Medicine | 3066 Grandstand Circle, Lees Summit, MO 64081 | 2006-08-27 |
| 1699718338 | Summit Medical Associates LLC | Family Medicine | 450 Ne M-291 Hwy, Lees Summit, MO 64086 | 2006-06-13 |
| 1871540658 | Family Health Specialist of Lee's Summit, LLC | Family Medicine | 2000 Se Blue Parkway, Suite 270 B, Lees Summit, MO 64063-4466 | 2006-05-27 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on MR. RANDY J TARVIN.
| 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.