Royal Randolph, Jr., M.D., M.P.H., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-4946 Issued in HI

Legal business name

ROYAL RANDOLPH, JR., M.D., M.P.H., LLC

Practice address

2200 Main St
Suite 517
Wailuku, HI 96793-1681

Phone

(808) 244-9677

Fax

(808) 244-9677

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Royal Randolph Jr., M.D.

Title

Owner/Member

Phone

(808) 244-9677

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245286780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1441",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967936441",
            "telephone_number": "808-244-9677",
            "fax_number": "808-242-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MAIN ST",
            "address_2": "SUITE 517",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931681",
            "telephone_number": "808-244-9677",
            "fax_number": "808-244-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL RANDOLPH, JR., M.D., M.P.H., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "ROYAL",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "808-244-9677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-4946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017302-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA, INC HAWAII",
            "identifier": "192779",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII ELECTRICIANS HEALT",
            "identifier": "192779",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "1853-1",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMERLIN LIFE & HEALTH",
            "identifier": "192779",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER AFFILIATED CARE",
            "identifier": "A-48199",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Rosenblatt, M.D.
• Marc David Rosenthal, M.D.
• Jeffrey Scott Rosett, M.D.
• Alicia Roston, MD
• Dennis W Rowe, MD
• R Susan Rubenstein, PH.D.
• Nicole M Rudy, CNM
• Larry Richard Ruiz, CSAC
• Jacqueline Runkel, MS, CCC-SLP
• Michael R Rutledge, MD

• Psychiatry Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.