Active NPI
Randy Lee Terrell, D.O.
- Family Medicine Physician
- Lawton, OK
National Provider Identifier
1437296530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5324
- Practice address
- 2716 W Gore Blvd
Suite C
Lawton, OK 73505-6305 - Phone
- (580) 357-3280
- Fax
- (904) 446-3013
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H2829 | TX | |
| Family Medicine Physician | 207Q00000X | 5324 | OK | Primary |
Addresses
Primary practice location
2716 W Gore Blvd
Suite C
Lawton, OK 73505-6305
Mailing address
PO Box 848371
Boston, MA 02284-8371
Phone (904) 446-3451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5324 | OK | MD | General Practice Dentistry |
| H2829 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1437296530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848371",
"city": "BOSTON",
"state": "MA",
"postal_code": "022848371",
"telephone_number": "904-446-3451",
"fax_number": "904-446-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 W GORE BLVD",
"address_2": "SUITE C",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056305",
"telephone_number": "580-357-3280",
"fax_number": "904-446-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "RANDY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H2829",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "5324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.