Active NPI
Randy Estacion Florendo, MD
- Emergency Medicine Physician
- Springfield, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD31309
- Practice address
- 832 Savannah West CT
Suite F
Springfield, TN 37172 - Phone
- (615) 483-6675
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD31309 | TN | |
| Emergency Medicine Physician | 207P00000X | MD31309 | TN | Primary |
| Emergency Medicine Physician | 207P00000X | 49518 | KY | |
| Internal Medicine Physician | 207R00000X | 31309 | TN | |
| Internal Medicine Physician | 207R00000X | 49518 | KY | |
| Pediatrics Physician | 208000000X | MD31309 | TN |
Addresses
Primary practice location
832 Savannah West CT
Suite F
Springfield, TN 37172
Mailing address
832 Savannah West CT
Suite F
Springfield, TN 37172-7387
Phone (615) 643-5008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3848225 | Medicaid | TN | |
| 4108174 | Other | TN | TENN CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD31309 | TN | MD | Emergency Medicine Physician |
| 31309 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Northcrest Physician Services Inc | Internal Medicine | Past | Accepting new patients |
| Millbrook Medical Center | Pediatrics | Past | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
1260 University Ave
Sewanee, TN 37375
Phone (615) 598-5691
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, KY
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Emergency Medicine Physician
- Leitchfield, KY
- NPI 1649743667
-
- Pediatrics Physician
- Springfield, TN
- NPI 1376682633
-
- Internal Medicine Physician
- Springfield, TN
- NPI 1356561856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1235124207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 SAVANNAH WEST CT",
"address_2": "SUITE F",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371727387",
"telephone_number": "615-643-5008",
"fax_number": "615-643-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 SAVANNAH WEST CT",
"address_2": "SUITE F",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "37172",
"telephone_number": "615-483-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORENDO",
"first_name": "RANDY",
"middle_name": "ESTACION",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TN",
"license": "MD31309",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD31309",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "49518",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "31309",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "49518",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD31309",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3848225",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENN CARE",
"identifier": "4108174",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.