Randy King Miller, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MO115530 Issued in MO

Practice address

25376 State Highway 39
Ste 301
Shell Knob, MO 65747-7343

Phone

(417) 236-2680

Fax

(417) 236-2683

NPI assigned

Jan 18, 2007

Last updated

Dec 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1003968058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE",
            "address_2": "STE 540",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075209",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25376 STATE HIGHWAY 39",
            "address_2": "STE 301",
            "city": "SHELL KNOB",
            "state": "MO",
            "postal_code": "657477343",
            "telephone_number": "417-236-2680",
            "fax_number": "417-236-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RANDY",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MO115530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester E Cox Medical Centers (Cox Health Center Shell Knob)
• Lester E. Cox Medical Centers (Shell Knob Family Medicine)
• Robert Eugene McDougle, LPTA
• Mercy Clinic-Springfield Communities (Mercy Clinic Family Medicine-Shell Knob)
• Mercy Hospital Springfield (Mercy Home Health)
• Michelle Gail O'Connell, NP
• Ozarks Regions Health Systems (St. John's Home Health Shell Knob)
• Angie Pittser
• Regional Services (Shell Knob Family Medicine)
• Shell Knob Pharmacy LLC (Plaza Pharmacy)

• Family Medicine Physician in Shell Knob, MO
• Providers in Shell Knob, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.