Robert A Randall, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15481 Issued in NE

Practice address

405 W Pearl St
Clinic
Atkinson, NE 68713-4882

Phone

(402) 925-2811

Fax

(402) 925-2914

NPI assigned

May 12, 2006

Last updated

Jun 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1306897707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687130458",
            "telephone_number": "402-925-2811",
            "fax_number": "402-925-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W PEARL ST",
            "address_2": "CLINIC",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687134882",
            "telephone_number": "402-925-2811",
            "fax_number": "402-925-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "15481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Shane McCumber, PA-C
• Katie Miller
• Shannon T Morrison
• Sara Ellen Paxton, PHARMD
• Linda Lou Price, RN
• Jessica Raymer, RN BSN
• Amy Anne Rentschler, PA-C
• Brooke Riha
• Kathryn M. Schulte, D.D.S., R.D.H.
• Connie Marie Smith

• Family Medicine Physician in Atkinson, NE
• Providers in Atkinson, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.