NPIMap

Individual provider Active NPI

Randy Herring, M.D.

  • Family Medicine Physician
  • Dalhart, TX
National Provider Identifier
1285647818
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8574 Issued in TX
Practice address
204 E 16TH St
Dalhart, TX 79022-4845
Phone
(806) 244-1013
Fax
(806) 244-1032
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8574 TX Primary

Addresses

Primary practice location

204 E 16TH St
Dalhart, TX 79022-4845

Mailing address

204 E 16TH St Ste B
Dalhart, TX 79022-4845
Phone (806) 244-1013

Other identifiers 3

IdentifierTypeStateIssuer
096789502MedicaidTX
8A5754OtherTXBLUE CROSS BLUE SHIELD
115037102OtherTXFIRST CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809001121 TX Practitioner - Family Practice 7810020153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallam-Hartley Counties Hospital DistrictGroup PAC ID 0143112805, 17 clinicians

Practice addresses (Care Compare)

PO Box
Suite 2014
Dalhart, TX 79022

Hospital & facility affiliations

  • Accentcare Health Home health agency, Amarillo, TX, CCN 457754
  • Coon Memorial Hospital Home Care Hospice, Dalhart, TX, CCN 671531
  • Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dallam-Hartley Counties Hospital District Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Jan 1, 2013 Accepting new patients
Dallam-Hartley Counties Hospital District Past Accepting new patients
High Country Community Rural Health Clinic Past Accepting new patients
Dallam-Hartley Counties Hospital District Past Accepting new patients
Dallam-Hartley Counties Hospital District Past Accepting new patients

Locations

320 E Texas Blvd
Dalhart, TX 79022
Phone (806) 244-3824

1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571

201 E Texas Blvd
Dalhart, TX 79022
Phone (806) 244-9302

210 E Texas Blvd
Dalhart, TX 79022
Phone (806) 244-8555

206 E 16th St
Dalhart, TX 79022
Phone (806) 244-5668

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coon Memorial Hospital Home CareDalhart, TX, CCN 671531 Hospice Corporate Officer
W-2 Managing Employee		 Aug 1, 1997
Aug 1, 1997

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1285647818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 16TH ST STE B",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224845",
            "telephone_number": "806-244-1013",
            "fax_number": "806-244-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 16TH ST",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224845",
            "telephone_number": "806-244-1013",
            "fax_number": "806-244-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096789502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A5754",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "115037102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalhart, TX

Sources for this page

Verify at the official NPI Registry.