Randall Tobler, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Memphis, MO
NPI 1639190069 · NPPES record last updated Mar 10, 2008
Key facts
- NPI
- 1639190069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- R2F89 (MO)
- Practice address
- Sigler Ave
R1
Memphis, MO 63555 - Phone
- (660) 465-2828
- Fax
- (660) 465-2820
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Owned or controlled facilities with NPI records 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061114000214 | MO | Practitioner - Obstetrics/Gynecology |
0042218711 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients | |
| Macon County Samaritan Hospital | Obstetrics & Gynecology | Past | Accepting new patients |
| Scotland County Memorial Hospital | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R2F89 | MO | Yes |
Addresses
Primary practice location
Sigler Ave
R1
Memphis, MO 63555
Mailing address
R1 Box 54
Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828
Other providers in Memphis, MO
- Scotland County Pharmacy Inc
- Sonya See
- Haley Rae Shrum
- Brenna Ashley Smith
- Anna C Stoeckmann
- Meagan Weber
- Brandi Ann White
- Jenna Williams
- Shane Charles Wilson
All providers in Memphis, MO · Obstetrics & Gynecology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.