Individual provider Active NPI

Randolph B Waskin, M.D.

  • Emergency Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1497780134
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33215-020 Issued in WI
Practice address
111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Phone
(414) 290-6720
Fax
(414) 290-6755
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 78620 MN
Emergency Medicine Physician 207P00000X 33215-020 WI Primary

Addresses

Primary practice location

111 E Wisconsin Ave
Milwaukee, WI 53202-4815

Mailing address

111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Phone (414) 290-6720

Other practice location 1

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Other identifiers 1

IdentifierTypeStateIssuer
31875600MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040308000878 WI Practitioner - Emergency MedicinePractitioner - Family Practice 2961390364 Reassigns benefits to 18 organizations
I20210115001849 NC Practitioner - Emergency Medicine 2961390364 Reassigns benefits to 6 organizations
I20250107001977 MN Practitioner - Emergency Medicine 2961390364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Baylor College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone (715) 361-2000

4312 Henson Dr
Wilmington, NC 28405-7424
Phone (910) 604-9569

Hospital & facility affiliations

  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210
  • Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100
  • Marshfield Medical Center - Rice Lake Hospital, Rice Lake, WI, CCN 520011
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78620MNMDEmergency Medicine Physician
33215-020WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Hospital, Inc. CurrentSince Jun 7, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 8, 2021 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 9, 2011 Accepting new patients
Chatham Hospital Inc Current Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 8, 2021 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Mar 27, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 9, 2011 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 1, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 20, 2020 Accepting new patients
Cape Fear Emergency Physicians PLLC Current Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 21, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 20, 2020 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
The Howard Young Medical Center, Inc. Emergency Medicine Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Emergency Medicine Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 1, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 1, 2024 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince May 14, 2023 Accepting new patients
Aspirus Eagle River Hospital, Inc. Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Mar 27, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
East Carolina Health-Bertie Emergency Medicine CurrentSince Sep 9, 2022 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 1, 2024 Accepting new patients
East Carolina Health-Bertie CurrentSince Sep 9, 2022 Accepting new patients
MCHS Hospitals Inc Emergency Medicine CurrentSince Nov 20, 2020 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Northern Indiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Health Dynamics, LLC Past Accepting new patients

Locations (25 of 31)

29980 Network Pl
Chicago, IL 60673

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

4312 Henson Dr
Wilmington, NC 28405
Phone (910) 212-5008

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

50 Sherry Ave
Park Falls, WI 54552
Phone (715) 762-3212

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

Interoperability endpoints

  • Direct secure messaging: rwaskin667571@direct.unc.nchie.net
  • Direct secure messaging: rwaskin25395@direct.olmmed.org
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: randolph.waskin@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 39

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.

View all 39

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1497780134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024815",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024815",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASKIN",
        "first_name": "RANDOLPH",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "78620",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "33215-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31875600",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.