David Awrey Randall, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

2000172900 Issued in MO

Practice address

960 E Walnut Lawn St
Ferrell-Duncan Clinic ENT
Springfield, MO 65807-7506

Phone

(417) 875-3600

Fax

(417) 875-3612

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alternative Health and Medical Group, LLC

  • Rehabilitation Chiropractor
  • Springfield, MO
  • NPI 1437496106
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Otolaryngology

  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1366438426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007",
            "telephone_number": "417-875-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E WALNUT LAWN ST",
            "address_2": "FERRELL-DUNCAN CLINIC ENT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077506",
            "telephone_number": "417-875-3600",
            "fax_number": "417-875-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "DAVID",
        "middle_name": "AWREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2000-172900",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2000172900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366438426",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205311608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ramirez, MPH, RDN, LD
• Ricardo Jose Ramirez, M.D.
• Joan Ramsey, AGNP
• Peter James Ramsey, MD
• Pranav R Rana, MD
• Geronn Randall
• Zachary Randall, MD
• Puneet Kaur Randhawa, M.D.
• Randi Green D.M.D., LLC
• Alison N Randol

• Otolaryngology Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.