Active NPI
Randy R. Shemer D.O. L.L.C.
- Internal Medicine Physician
- Monaca, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS-008808L
- Legal business name
- RANDY R. SHEMER D.O. L.L.C.
- Practice address
- 3419 Brodhead Rd
Monaca, PA 15061-3131 - Phone
- (724) 770-0771
- Fax
- (724) 770-0607
- NPI assigned
- Mar 15, 2007
- Last updated
- May 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randy Robert Shemer, D.O.
- Title
- Owner
- Phone
- (727) 770-0771
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS-008808L | PA | Primary |
Addresses
Primary practice location
3419 Brodhead Rd
Monaca, PA 15061-3131
Mailing address
3419 Brodhead Rd
Monaca, PA 15061-3131
Phone (724) 770-0771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015442300007 | Medicaid | PA |
Other names 1
- Randy R. Shemer D.O. L.L.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2424 Mill St
Aliquippa, PA 15001
Phone (724) 770-0771
3419 Brodhead Rd
Monaca, PA 15061
Phone (724) 770-0771
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306454400000",
"number": "1336273218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 BRODHEAD RD",
"city": "MONACA",
"state": "PA",
"postal_code": "150613131",
"telephone_number": "724-770-0771",
"fax_number": "724-770-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 BRODHEAD RD",
"city": "MONACA",
"state": "PA",
"postal_code": "150613131",
"telephone_number": "724-770-0771",
"fax_number": "724-770-0607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDY R. SHEMER D.O. L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2011-05-27",
"status": "A",
"authorized_official_last_name": "SHEMER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-770-0771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS-008808L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015442300007",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Randy R. Shemer D.O. L.L.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Monaca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.