Randall Falconer, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD 18839 Issued in TN

Practice address

1728 N Eastman Rd
Kingsport, TN 37664-2371

Phone

(423) 230-6532

Fax

(423) 230-4859

NPI assigned

May 23, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Meadowview Ear Nose and Throat Spec PC

  • Specialist
  • Kingsport, TN
  • NPI 1417953845
  NPD (past)
• Randall J Falconer MD PC

  • Specialist
  • Kingsport, TN
  • NPI 1043228646
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104829134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 N EASTMAN RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642371",
            "telephone_number": "423-230-6532",
            "fax_number": "423-230-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 N EASTMAN RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642371",
            "telephone_number": "423-230-6532",
            "fax_number": "423-230-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCONER",
        "first_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD 18839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6502512",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3036752",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Evans, NP
• Mary Evans, LCSW
• Anthony Everhart, MD
• Excel Prosthetics & Orthotics, Inc
• Eye Care Assoicates of Co, LLC
• Sarah Katherine Falconer, PA-C
• Family Dental Center Tricities, PC
• Family Eye Care and Pediatric Vision Center, PLLC
• Jane E Faries, NP
• Sharon L Farley, CRNA

• All providers in Kingsport, TN
• Otolaryngology Physician in Tennessee

• 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.

Verify at the official NPI Registry.