Randall P. Maydew, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

J0589 Issued in TX

Legal business name

RANDALL P. MAYDEW, M.D.

Practice address

7777 Forest LN
Suite B238
Dallas, TX 75230-2505

Phone

(972) 566-5813

NPI assigned

May 6, 2007

Organization subpart

No

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

Authorized official

Name

Randall Paul Maydew, M.D.NPI 1255350757

Title

Sole Proprietor

Phone

(469) 964-0807

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Paul Maydew, MD

  • Anesthesiology Physician
  • Golden, CO
  • NPI 1255350757
  NPD (past) Authorized official

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1083826408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WELBORN ST APT 420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195215",
            "telephone_number": "469-964-0807",
            "fax_number": "214-363-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B238",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL P. MAYDEW, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "MAYDEW",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "469-964-0807",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J0589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P8B057101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263088",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1255350757",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33605",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91842187",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0529554-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Setal Rana, M.D.
• Helen Ranaldo-McGuire, D.C.
• Nicholas Lawrence Ranallo, MD
• Ranchland 2SP Group, LLC
• Randall P. Kirby, MD PA
• Andrew W. Randall, DDS
• Arianna Randall
• Erica S Randall, CPNP-PC
• Laura Jane Randall, AA
• Randalls Food & Drugs LP

• Anesthesiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; 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.