Thomas R Randall, MD | |
1275 N High St, Hillsboro, OH 45133-8273 | |
(937) 393-6140 | |
Not Available |
Full Name | Thomas R Randall |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1275 N High St, Hillsboro, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326012832 | NPI | - | NPPES |
000000344443 | Other | OH | ANTHEM BCBS |
P00190832 | Other | RAILROAD MEDICARE | |
2418155 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35-073247 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 35.073247 (Ohio) | Primary |
Entity Name | Highland District Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225053119 PECOS PAC ID: 0941191167 Enrollment ID: O20040324001232 |
Entity Name | Ohio Emergency Professionals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
Entity Name | Valley Emergency Physicians Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528342961 PECOS PAC ID: 8527233261 Enrollment ID: O20111208000543 |
Entity Name | Osup Community Outreach Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
Mailing Address | Practice Location Address |
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Thomas R Randall, MD 968 Waynoka Dr, Lake Waynoka, OH 45171-9762 Ph: (937) 446-1639 | Thomas R Randall, MD 1275 N High St, Hillsboro, OH 45133-8273 Ph: (937) 393-6140 |
Keith J Harkins, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1275 N High St, Hillsboro, OH 45133 Phone: 937-393-6100 Fax: 937-619-4150 |