Randall E Woesner MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G44111 Issued in CA

Legal business name

RANDALL E WOESNER MD INC

Practice address

248 Hospital Dr Ste a
Ukiah, CA 95482-4555

Phone

(707) 463-1659

Fax

(707) 463-2195

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randall E Woesner, MD

Title

Corp President

Phone

(707) 463-1659

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1609069830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 HOSPITAL DR STE A",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824555",
            "telephone_number": "707-463-1659",
            "fax_number": "707-463-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 HOSPITAL DR STE A",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824555",
            "telephone_number": "707-463-1659",
            "fax_number": "707-463-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL E WOESNER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WOESNER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CORP PRESIDENT",
        "authorized_official_telephone_number": "707-463-1659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G44111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Ramirez
• Elisa Ramirez
• Gloria Ramirez
• Trenton Ramos
• Amie Leann Rancourt
• Michael Patrick Raney, EMT
• Brian J Rank, ACSW
• Michael E Ranuio, REHAB SPEC
• Jeffrey Alan Rapp, MD
• Clinton Rathbun

• Medical Specialty Clinic/Center in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.