Active NPI
Randall H James, DO
- Physical Medicine & Rehabilitation Physician
- Huntington, WV
National Provider Identifier
1114968666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2401
- Practice address
- 2828 1St Ave
Highawn Medical Building, Ste 504
Huntington, WV 25702-1236 - Phone
- (304) 399-7212
- Fax
- (304) 399-7215
- NPI assigned
- Jun 8, 2006
- Last updated
- Feb 8, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036111718 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 5101017513 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 2401 | WV | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 6154 | OH | |
| Physical Medicine & Rehabilitation Physician | 208100000X | DOS-750 | HI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 02003421A | IN |
Addresses
Primary practice location
2828 1St Ave
Highawn Medical Building, Ste 504
Huntington, WV 25702-1236
Mailing address
2828 1St Ave
Highawn Medical Building, Ste 504
Huntington, WV 25702-1236
Phone (304) 399-7212
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000274617 | Other | OH | UNISON |
| 7100077570 | Medicaid | KY | |
| 3810014936 | Medicaid | WV | |
| 2110724 | Other | WV | MTN ST BCBS |
| 5045645 | Other | WV | AETNA |
| 2955299 | Medicaid | OH | |
| 1074767 | Other | WV | WV COMPENSATION |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6154 | OH | MD | Optometrist |
| DOS-750 | HI | MD | Physical Medicine & Rehabilitation Physician |
| 02003421A | IN | MD | Physical Medicine & Rehabilitation Physician |
| 2401 | WV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physicians, S.C. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Advanced Physicians, S.C. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Crest Hill, IL
- NPI 1124075288
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1750337077
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1114968666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 1ST AVE",
"address_2": "HIGHAWN MEDICAL BUILDING, STE 504",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021236",
"telephone_number": "304-399-7212",
"fax_number": "304-399-7215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 1ST AVE",
"address_2": "HIGHAWN MEDICAL BUILDING, STE 504",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021236",
"telephone_number": "304-399-7212",
"fax_number": "304-399-7215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "RANDALL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036111718",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5101017513",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WV",
"license": "2401",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "6154",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "HI",
"license": "DOS-750",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "02003421A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000274617",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100077570",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810014936",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTN ST BCBS",
"identifier": "2110724",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5045645",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2955299",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV COMPENSATION",
"identifier": "1074767",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.