Randy S.Beallis D.O. P.a.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MC-2708 Issued in AR

Legal business name

RANDY S.BEALLIS D.O. P.A.

Practice address

7301 Rogers Ave FL 4
Fort Smith, AR 72903-4100

Phone

(479) 646-5700

Fax

(479) 646-5956

NPI assigned

Aug 28, 2009

Last updated

Nov 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randy S Beallis, D.O.

Title

Owner

Phone

(479) 459-5382

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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.

• Randall Scott Beallis, DO

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1407806623
  Medicare reassignment NPD

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1447483185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11106",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171106",
            "telephone_number": "479-459-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE FL 4",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-646-5700",
            "fax_number": "479-646-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY S.BEALLIS D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "BEALLIS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-459-5382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AR",
            "license": "MC-2708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Ramsey
• Koree Ramsey
• Amelia Ramzan, MD
• Skye Randolph-Francis, QBHP
• Deanna Randolph, PTA
• Brian Michael Rapp, MD
• Kelly Callan Rappeport, P.D.
• Stephen A Rappeport, DDS
• Ariel Elise Rashidi, SLPA
• Karen C. Ratliff, PT, MS

• Adult Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Adult Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.

Verify at the official NPI Registry.