Randolph Lee James, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45978 Issued in CO

Practice address

403 S Baldwin Street
Woodland Park, CO 80863-8762

Phone

(719) 686-7776

Fax

(719) 355-1927

NPI assigned

Aug 31, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 15, 2019 through Apr 15, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: randolph.james@53352995618820.direct.elationemr.com

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1124011507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S BALDWIN ST",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633154",
            "telephone_number": "719-686-7776",
            "fax_number": "719-355-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S BALDWIN STREET",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638762",
            "telephone_number": "719-686-7776",
            "fax_number": "719-355-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "RANDOLPH",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "45978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL HOSPITAL",
            "identifier": "811674",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Therese Hunera
• Innerbloom Therapy
• Julie Jabaay, M.A., CCC-SLP
• Danelle Dawn Jackson-Stith, BCABA
• Jennifer Fuller James, LCSW
• Anna Lynn Jetton, PSY.D.
• JMJ III
• Audrey Johnsen, LCSW
• Holly Christine Johnson
• Michelle Annette Johnson, CCC-SLP

• Family Medicine Physician in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.