Michael Shane Randolph, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33885 Issued in KY

Practice address

104 Hardin LN
Somerset, KY 42503-3800

Phone

(606) 676-0786

NPI assigned

Sep 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ephraim McDowell Health Resource, Inc.

  dba Danville Family Physicians

  • Family Medicine Physician
  • Danville, KY
  • NPI 1487708533
  Medicare reassignment NPD
• Ephraim McDowell Health Resource, Inc

  dba Ephraim McDowell Specialty Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, KY
  • NPI 1174484463

  Family Medicine

  NPD
• Appalachian Regional Healthcare, Inc

  dba ARH Tri-Cities Clinic Pharmacy

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD (past)
• North Lexington Urgent Treatment Associates PSC

  dba Urgent Treatment Clinics UTC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1396724092

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023111010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 KY HWY 2141",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "40484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HARDIN LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033800",
            "telephone_number": "606-676-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "33885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ramsey, APRN
• Heather Ramsey, LCSW
• Richard Dwight Ramsey
• Terry L Randall, DPT
• Meghann Marie Randolph, PHARMD
• Sandra Gail Rape, OTR
• Lauren Elizabeth Ray, MA, NCC, LPCC
• Tara M Ray, MA,NCC
• Debra Michelle Redden, LPCC
• Amardeep K Reddy, D.O.

• Family Medicine Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.