Randy A Shuck, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS7079 Issued in FL

Practice address

6800 Gulfport Blvd S Ste 101
South Pasadena, FL 33707-2193

Phone

(727) 328-3324

Fax

(877) 592-0792

NPI assigned

Jan 25, 2006

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 FL

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

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GTS MedicalGroup PAC ID 6305257668, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncoast Hospice Hospice, Palm Harbor, FL, CCN 101508
• HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• GTS Medical

  • Family Medicine Physician
  • South Pasadena, FL
  • NPI 1033720362
  Medicare reassignment Care Compare group NPD
• All Family Medical Center Inc

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1174611289
  NPD Authorized official
• Largo Physician Group, LLC

  • Pediatrics Physician
  • Brooksville, FL
  • NPI 1578732889
  NPD (past)
• Oak Hill Hospitalist, LLC

  • Internal Medicine Physician
  • Brooksville, FL
  • NPI 1720152283
  NPD (past)
• Paxton Medical Management

  • Family Medicine Physician
  • North Port, FL
  • NPI 1457950420
  NPD (past)
• Sun Coast Hospital Inc

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1326058256
  NPD (past)

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

• The Hospice of the Florida Suncoast, Inc.

  • Community Based Hospice Care Agency
  • Palm Harbor, FL
  • NPI 1124028204
  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1477523975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 GULFPORT BLVD S STE 101",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072193",
            "telephone_number": "727-328-3324",
            "fax_number": "877-592-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 GULFPORT BLVD S STE 101",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072193",
            "telephone_number": "727-328-3324",
            "fax_number": "877-592-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUCK",
        "first_name": "RANDY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Radiology Services of Central Florida, Inc.
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• Sheridan Radiology Services of South Florida, Inc.
• Shore Drive Opco LLC
• Sharmila G Shroff
• Corinn Singletary, PA-C
• John P Slosburg, M.D.
• Pamela Marie Snyder
• Samantha Snyder, PT, DPT
• Sonus-USA, Inc.

• Family Medicine Physician in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.