NPIMap

Individual provider Active NPI

Randall Dean Stockstill, M.D.

  • Anesthesiology Physician
  • Abilene, TX
National Provider Identifier
1265421804
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E4704 Issued in TX
Practice address
6250 US Hwy 83/84
Abilene, TX 79606-5215
Phone
(325) 793-5380
Fax
(325) 202-3060
NPI assigned
Oct 17, 2005
Last updated
Jul 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E4704 TX Primary

Addresses

Primary practice location

6250 US Hwy 83/84
Abilene, TX 79606-5215

Mailing address

PO Box 7301
Abilene, TX 79608-7301
Phone (325) 793-5380

Other identifiers 5

IdentifierTypeStateIssuer
128080201MedicaidTX
128080206MedicaidTX
0062PAOtherTXBCBS IND # PAIN
8U7781OtherTXBCBSTX
128080207MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Armc LP Past Accepting new patients
Privia Medical Group West Texas, PLLC PastSince Sep 1, 2007 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Michael D. Price, MD, PA Anesthesiology Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1265421804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7301",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796087301",
            "telephone_number": "325-793-5380",
            "fax_number": "325-793-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 US HWY 83/84",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065215",
            "telephone_number": "325-793-5380",
            "fax_number": "325-202-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKSTILL",
        "first_name": "RANDALL",
        "middle_name": "DEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "E4704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128080201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128080206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND # PAIN",
            "identifier": "0062PA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8U7781",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128080207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.