Shirley Regina Mason-Randall, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0101034675 Issued in VA

Practice address

4364 Lankford Hwy
Exmore, VA 23350-2308

Phone

(757) 656-3465

NPI assigned

Oct 20, 2005

Last updated

Jul 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

Specialty

Anesthesiology

Education

Virginia Commonwealth University, School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: shirley.mason.randall.1@9425.direct.athenahealth.com

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.

• Shirley M. Randall Inc

  • Anesthesiology Physician
  • Nassawadox, VA
  • NPI 1659440006
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shore Health Services Inc.

  dba Riverside Shore Memorial Hospital

  • Rural Acute Care Hospital
  • Onancock, VA
  • NPI 1619076916
  Care Compare affiliation

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1114916343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2987 BUTLERS BLUFF DR",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233101429",
            "telephone_number": "757-331-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 LANKFORD HWY",
            "city": "EXMORE",
            "state": "VA",
            "postal_code": "233502308",
            "telephone_number": "757-656-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON-RANDALL",
        "first_name": "SHIRLEY",
        "middle_name": "REGINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101034675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5708001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John a Foley, Jr., M.D., P.C. (Eastern Shore Eye Center)
• Sarah Anne Lewis, LPC
• Little Hands Little Feet Pediatric Therapy, PLLC
• Mark C Raymond MD PC
• Mark C Raymond MD PC
• North Beach Enterprises, Inc. (Shore Pharmacy)
• John Donald Ogram, M.D.
• Philip Dorr Richard, RPH
• Sdec
• Thomas Lloyd Smith Jr.

• Anesthesiology Physician in Exmore, VA
• Providers in Exmore, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.