Randal T Qualls (NPI# 1922108422, PAC ID# 5294784740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922108422 |
| PAC ID by PECOS | 5294784740 |
| Professional Enrollment ID | I20050121000548 |
| Full Name | Randal T Qualls |
| Organization Legal Name | LESTER E COX MEDICAL CENTERS |
| Address |
1216 Deadra Dr Lebanon MO 65536-4669 |
| Phone Number | 4177305650 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254248917 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260040 | COX MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 1216 Deadra Dr, Lebanon, MO 65536-4669 | 4177305650 | LESTER E COX MEDICAL CENTERS |
| 5548 N Farmer Branch Rd, Cox Medical Centers, Ozark, MO 65721-5315 | 4175816411 | LESTER E COX MEDICAL CENTERS |
| 1423 N Jefferson Ave, Springfield, MO 65802-1917 | LESTER E COX MEDICAL CENTERS |
| Organization Legal Name | LESTER E COX MEDICAL CENTERS |
| Physicians | 146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Dollie Skaggs | Family Medicine | Lester E Cox Medical Centers | 890 Hwy 248, Branson, MO 65616-3721 |
| Raquel G Moore | Nurse Practitioner | Lester E Cox Medical Centers | 1423 N Jefferson Ave, B100, Springfield, MO 65802-1917 |
| Jenna D Cravens | Nurse Practitioner | Lester E Cox Medical Centers | 1602 A N Main St, Mountain Grove, MO 65711-1010 |
| Andrea D Applegate | Physician Assistant | Lester E Cox Medical Centers | 1429 W Sunshine St, Coxhealth Urgent Care Elfindale, Springfield, MO 65807-2346 |
| Robert Shaw Jr. | Family Medicine | Lester E Cox Medical Centers | 816 E Main St, Willow Springs, MO 65793-1518 |
| Loren E Broaddus | Internal Medicine | Lester E Cox Medical Centers | 3801 S National Ave 5th Floor, Springfield, MO 65807-5210 |
| Mary J Keller | Nurse Practitioner | Lester E Cox Medical Centers | 3525 S National Ave St, Springfield, MO 65807-7315 |
| Donna C Wilson | Nurse Practitioner | Lester E Cox Medical Centers | 510 Hwy 32, Lebanon, MO 65536-5303 |
| Jon F Snow | Preventative Medicine | Lester E Cox Medical Centers | 3525 S National Ave, Springfield, MO 65807-7310 |
| Donna F Harper | Family Medicine | Lester E Cox Medical Centers | 151 Johnstown Dr, Rogersville, MO 65742-9366 |
| Street Address |
1216 DEADRA DR |
| City | LEBANON |
| State | MO |
| Zip | 65536-4669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monika Goyal | Psychiatry | Compass Health Inc | 1216 Deadra Dr, Lebanon, MO 65536-4669 |
| Jamshid Nikbakht | Nurse Practitioner | Lester E Cox Medical Centers | 1216 Deadra Dr, Lebanon, MO 65536-4669 |
| Shelby Perkins | Psychologist, Clinical | Compass Health Inc | 1216 Deadra Dr, Lebanon, MO 65536-4669 |
| Jamie D Schoolcraft | Physician Assistant | Lester E Cox Medical Centers | 1216 Deadra Dr, Lebanon, MO 65536-4669 |
| Marcia N Landers | Clinical Social Worker | Compass Health Inc | 1216 Deadra Dr, Lebanon, MO 65536-4669 |
| Sara Lynn Wilson | Clinical Psychologist | Compass Health Inc | 1216 Deadra Dr, Lebanon, MO 65536-4669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack D Crocker | Chiropractic | 464 N Jefferson Ave, Lebanon, MO 65536-2742 | |
| Marla C Smith | Optometry | Mattax Neu Prater Eye Center Inc | 430 N Jefferson Ave, Lebanon, MO 65536-2742 |
| James B Mattax Jr. | Ophthalmology | Mattax Neu Prater Eye Center Inc | 430 N Jefferson Ave, Lebanon, MO 65536-2742 |
| Leo T Neu Iii | Ophthalmology | Mattax Neu Prater Eye Center Inc | 430 N Jefferson Ave, Lebanon, MO 65536-2742 |
| Melani A Crocker | Chiropractic | 617 N Jefferson Ave, Lebanon, MO 65536-2745 | |
| Margaret K Swick | Chiropractic | 291 N Adams Ave, Lebanon, MO 65536-3045 | |
| Cylinda L Butler | Optometry | 702 Owens Dr, Lebanon, MO 65536-3501 | |
| Thomas R Whitty | Chiropractic | 702 Owens Dr, Lebanon, MO 65536-3501 | |
| Daniel L Johnson | Nurse Practitioner | Lake Regional Health System | 441 W Elm St, Lake Regional Occupational Medicine, Lebanon, MO 65536-3523 |
| Neil R Schwartzman | Internal Medicine | Lake Regional Health System | 441 W Elm St, Lake Regional Occupational Medicine, Lebanon, MO 65536-3523 |
| Find all physicians in zip 65536 | |||
| City | LEBANON |
| Zip Code | 65536 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEBANON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Randal T Qualls.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.