Randy Charles Hancock, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3297 Issued in AZ

Practice address

19251 E Oasis Dr
Black Canyon City, AZ 85324-8878

Phone

(623) 374-0200

Fax

(623) 374-5576

NPI assigned

Jan 19, 2006

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Canyon Community Health Center IncGroup PAC ID 6406900331, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16465/brand/1/csg/1/fhir/r4
• Direct secure messaging: randy.hancock.1@16465.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Black Canyon Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mayer, AZ
  • NPI 1124730627

  Corporate Officer

  CMS ownership
• Black Canyon Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Black Canyon City, AZ
  • NPI 1992438642

  Corporate Officer

  CMS ownership

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.

• Black Canyon Community Health Center, Inc.

  • Family Medicine Physician
  • Black Canyon City, AZ
  • NPI 1679723217
  Medicare reassignment Care Compare group NPD Authorized official
• Black Canyon Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mayer, AZ
  • NPI 1124730627

  Family Medicine

  NPD Authorized official
• Black Canyon Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camp Verde, AZ
  • NPI 1700799541
  Authorized official Same address or phone
• Black Canyon Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Black Canyon City, AZ
  • NPI 1992438642
  Authorized official Same address or phone
• New River Family Medicine L.L.C.

  • Family Medicine Physician
  • New River, AZ
  • NPI 1982890851
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• VHS of Arrowhead, Inc

  dba Abrazo Arrowhead Campus

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  Care Compare affiliation
• VHS of Arrowhead, Inc.

  dba Abrazo Peoria Emergency Center

  • General Acute Care Hospital
  • Peoria, AZ
  • NPI 1801340781
  Care Compare affiliation

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1467432971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19251 E OASIS DR",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853248878",
            "telephone_number": "623-374-0200",
            "fax_number": "623-374-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19251 E OASIS DR",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853248878",
            "telephone_number": "623-374-0200",
            "fax_number": "623-374-5576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17301 E Spring Valley Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Mayer",
            "state": "AZ",
            "postal_code": "863334263",
            "country_code": "US",
            "telephone_number": "623-374-0200",
            "fax_number": "623-374-5576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 S Main St",
            "address_purpose": "LOCATION",
            "city": "Camp Verde",
            "state": "AZ",
            "postal_code": "863227272",
            "country_code": "US",
            "telephone_number": "623-374-0200",
            "fax_number": "623-374-5576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "RANDY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Canyon Physical Therapy, PLLC
• Marci Brown-Gilpin, LCSW
• Canon Elementary School District
• Canyon Medical Clinic LLC
• Emd Medical Services LLC (Cherry Family Practice)
• Home Health Services, PLLC (Midstate Physical Therapy)
• Andrea Kay Irving, D.O.
• Paw Kamwee, N.M.D
• Joshua Cheol-Hong Kim, D.O.
• Elli Klinger

• Family Medicine Physician in Black Canyon City, AZ
• Providers in Black Canyon City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.