Active NPI
Randolph Middleman, DC
- Chiropractor
- Tampa, FL
National Provider Identifier
1124789789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13618
- Practice address
- 2021 N Lemans Blvd Unit 6201
Tampa, FL 33607-1156 - Phone
- (610) 731-3075
- NPI assigned
- Jan 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH13618 | FL | Primary |
Addresses
Primary practice location
2021 N Lemans Blvd Unit 6201
Tampa, FL 33607-1156
Mailing address
2021 N Lemans Blvd Unit 6201
Tampa, FL 33607-1156
Phone (610) 731-3075
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13618 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delanie Shea LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Tampa, FL
- NPI 1699477034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1124789789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 N LEMANS BLVD UNIT 6201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071156",
"telephone_number": "610-731-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 N LEMANS BLVD UNIT 6201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071156",
"telephone_number": "610-731-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLEMAN",
"first_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.