Active NPI
Jason A Randall, PA-C
- Physician Assistant
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3437
- Practice address
- 2905 W Warner Rd Ste 23
Chandler, AZ 85224-1674 - Phone
- (480) 345-2031
- Fax
- (480) 491-2767
- NPI assigned
- May 26, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3437 | AZ | |
| Surgical Physician Assistant | 363AS0400X | 3437 | AZ | |
| Physician Assistant | 363A00000X | 3437 | AZ | Primary |
Addresses
Primary practice location
2905 W Warner Rd Ste 23
Chandler, AZ 85224-1674
Mailing address
2905 W Warner Rd Ste 23
Chandler, AZ 85224-1674
Phone (480) 345-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097774 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10200 N 92ND St
Suite 225
Scottsdale, AZ 85258-4536
Phone (480) 697-4824
10290 N 92ND St
Suite 101
Scottsdale, AZ 85258-4508
Phone (480) 697-4824
13660 N 94TH Dr
Suite C4
Peoria, AZ 85381-4841
Phone (480) 697-4824
Hospital & facility affiliations
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Scottsdale Shea Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3437 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Az Orthopedics LLC | Physician Assistant | Current | Accepting new patients |
| Tucson Orthopaedic Institute Professional Corporation | Physician Assistant | Past | Accepting new patients |
Locations
13660 N 94th Dr
Ste C4
Peoria, AZ 85381
Phone (480) 697-4824
10200 N 92nd St
Ste 225
Scottsdale, AZ 85258
Phone (480) 391-3885
10290 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 697-4824
Interoperability endpoints
- jason.randall.1@27410.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Scottsdale, AZ
- NPI 1093437246
-
- Orthopaedic Surgery Physician
- Chandler, AZ
- NPI 1245430735
-
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1437193265
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467408690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 W WARNER RD STE 23",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852241674",
"telephone_number": "480-345-2031",
"fax_number": "480-491-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 W WARNER RD STE 23",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852241674",
"telephone_number": "480-345-2031",
"fax_number": "480-491-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "JASON",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3437",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "3437",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097774",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.