Mark Edward Randleman, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1997 Issued in IA

Practice address

1111 6TH Ave
Emergency Medicine
Des Moines, IA 50314-2610

Phone

(515) 247-4445

Fax

(515) 643-8933

NPI assigned

Nov 9, 2005

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518948389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15797 CARTER ST",
            "city": "CARLISLE",
            "state": "IA",
            "postal_code": "500473194",
            "telephone_number": "515-989-3133",
            "fax_number": "515-989-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "address_2": "EMERGENCY MEDICINE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142610",
            "telephone_number": "515-247-4445",
            "fax_number": "515-643-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLEMAN",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "1997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3208447",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Ramsey, DO
• Carolyn Marie Ramsey, LPN
• Joel E Rand, PA
• Regina Marie Randall, ARNP
• Kelsey Marie Randel, D.O.
• Brooke Aletta Raney, NP-C
• Lynn Rankin, MD
• Sanjana Rao, DO
• Haylee Rasmussen
• Mary E Rasmussen, PHARM D

• Emergency Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.