Active NPI
Randall Tobler, M.D.
- Obstetrics & Gynecology Physician
- Memphis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- R2F89
- Practice address
- Sigler Ave
R1
Memphis, MO 63555 - Phone
- (660) 465-2828
- Fax
- (660) 465-2820
- NPI assigned
- Jul 21, 2006
- Last updated
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R2F89 | MO | Primary |
Addresses
Primary practice location
Sigler Ave
R1
Memphis, MO 63555
Mailing address
R1 Box 54
Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Macon County Samaritan Hospital | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Past | Accepting new patients | |
| Macon County Samaritan Hospital | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151
450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828
450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828
Interoperability endpoints
- randall.tobler@507399380271108.direct.elationemr.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Scotland County Hospital | Hospital | Corporate Officer (100%) Corporate Director (100%) W-2 Managing Employee (100%) |
Aug 29, 2014 Aug 29, 2014 Aug 29, 2014 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Critical Access Hospital
- Memphis, MO
- NPI 1861566218
Corporate Director, Corporate Officer, W-2 Managing Employee
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
-
dba Memphis Medical Services
- Rural Health Clinic/Center
- Memphis, MO
- NPI 1205844982
-
dba Edina Medical Services
- Family Medicine Physician
- Edina, MO
- NPI 1568092732
-
dba Memphis Medical Services
- Family Medicine Physician
- Memphis, MO
- NPI 1578761060
-
- Hospitalist Physician
- Macon, MO
- NPI 1437419199
Obstetrics & Gynecology
-
dba Lancaster Medical Services
- Rural Health Clinic/Center
- Lancaster, MO
- NPI 1407865132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1639190069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "R1 BOX 54",
"address_2": "SIGLER AVE",
"city": "MEMPHIS",
"state": "MO",
"postal_code": "63555",
"telephone_number": "660-465-2828",
"fax_number": "660-465-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SIGLER AVE",
"address_2": "R1",
"city": "MEMPHIS",
"state": "MO",
"postal_code": "63555",
"telephone_number": "660-465-2828",
"fax_number": "660-465-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBLER",
"first_name": "RANDALL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "R2F89",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.