Randall R Sitz, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03425 Issued in TX

Practice address

36000 Darnall Loop
Fort Hood, TX 76544-5095

Phone

(254) 618-8045

NPI assigned

Jan 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: randy.sitz@020.emedpractice.direct-ci.com

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

• Mesquite Physicians Group, PLLC

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1821397027
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1043369390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MOUNTAIN VIEW DR",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488024",
            "telephone_number": "254-698-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445095",
            "telephone_number": "254-618-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITZ",
        "first_name": "RANDALL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296423101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn M. Simmons, CNM
• Garjeet Singh
• Jennifer Marie Sisson, APA-C
• Cressenda Sittner, RN
• Camella Joy Sitz, FNP
• Kristofer Paul Sivanich, D.D.S.
• Liam R Skiffington
• Julie Skiles, LCSW, BCD
• Kerri Slatton, RDH
• Benjamin Sluchak, DMD

• Medical Physician Assistant in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.