Organization Active NPI

Dr. Randy G Delcore, M.D. P.C.

  • Orthopaedic Surgery Physician
  • Cedar City, UT
National Provider Identifier
1205020120
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
95-292246-1205 Issued in UT
Legal business name
DR. RANDY G DELCORE, M.D. P.C.
Practice address
1335 Northfield Rd Ste 200
Cedar City, UT 84720-9489
Phone
(435) 586-1003
Fax
(435) 865-9874
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Randy G Delcore, M.D.NPI 1205926748
Title
President
Phone
(435) 586-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 95-292246-1205 UT Primary

Addresses

Primary practice location

1335 Northfield Rd Ste 200
Cedar City, UT 84720-9489

Mailing address

1335 Northfield Rd Ste 200
Cedar City, UT 84720-9489
Phone (435) 586-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000246 UT Part B Supplier - Clinic/Group Practice 4789771809 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar City, UT

National Provider Directory

National Provider Directory

Locations

1335 Northfield Rd
Ste 200
Cedar City, UT 84721
Phone (435) 586-1003

1335 Northfield Rd
Ste 2
Cedar City, UT 84721
Phone (435) 586-1003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1205020120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 NORTHFIELD RD STE 200",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847209489",
            "telephone_number": "435-586-1003",
            "fax_number": "435-865-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 NORTHFIELD RD STE 200",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847209489",
            "telephone_number": "435-586-1003",
            "fax_number": "435-865-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RANDY G DELCORE, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "DELCORE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-586-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "95-292246-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.