Organization Active NPI

Randy Hines MD PA

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1326166497
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6469 Issued in TX
Legal business name
RANDY HINES MD PA
Practice address
3501 S Soncy Rd Ste 1002
Amarillo, TX 79119-4932
Phone
(806) 677-0500
Fax
(806) 677-0860
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Thomas Randall Hines, MD
Title
Owner
Phone
(806) 677-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K6469 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 1002
Amarillo, TX 79119-4932

Mailing address

3501 S Soncy Rd Ste 1002
Amarillo, TX 79119-4932
Phone (806) 677-0500

Other identifiers 2

IdentifierTypeStateIssuer
00554WOtherTXMEDICARE PTAN
164624201MedicaidTX

National Provider Directory

National Provider Directory

Locations

25 Medical Dr
Amarillo, TX 79106
Phone (806) 242-9400

3501 S Soncy Rd
Ste 1002
Amarillo, TX 79119
Phone (806) 341-2188

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1326166497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 1002",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791194932",
            "telephone_number": "806-677-0500",
            "fax_number": "806-677-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 1002",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791194932",
            "telephone_number": "806-677-0500",
            "fax_number": "806-677-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY HINES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-677-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00554W",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164624201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.