Active NPI
Randy Truman Kohl, MD
- Family Medicine Physician
- Lincoln, NE
National Provider Identifier
1083822563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17022
- Practice address
- Folsom and W. Prospector Place
Lincoln, NE 68509-4661 - Phone
- (402) 479-5931
- Fax
- (402) 478-5679
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17022 | NE | Primary |
Addresses
Primary practice location
Folsom and W. Prospector Place
Lincoln, NE 68509-4661
Mailing address
9030 Princeton Road
Firth, NE 68358
Phone (402) 791-2117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17022 | NE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083822563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9030 PRINCETON ROAD",
"city": "FIRTH",
"state": "NE",
"postal_code": "68358",
"telephone_number": "402-791-2117",
"fax_number": "402-791-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FOLSOM AND W. PROSPECTOR PLACE",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685094661",
"telephone_number": "402-479-5931",
"fax_number": "402-478-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHL",
"first_name": "RANDY",
"middle_name": "TRUMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "17022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.