Randolph O Maul, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

31283 Issued in CO

Practice address

19681 Royal Troon Dr
Monument, CO 80132-2874

Phone

(719) 659-1170

Fax

(719) 559-0464

NPI assigned

May 6, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1649229873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19681 ROYAL TROON DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801322874",
            "telephone_number": "719-659-1170",
            "fax_number": "719-559-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19681 ROYAL TROON DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801322874",
            "telephone_number": "719-659-1170",
            "fax_number": "719-559-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUL",
        "first_name": "RANDOLPH",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "31283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01312834",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930027387",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Campbell Rd, LLC
• Ann Louise Marsico, OTR
• Alexandria Martinez, LAC
• James Martinez
• Mary Anne Parrish, LCSW, P.C.
• Amelie Jessie Mayer
• Erica Lynn McCall, DVM
• Allison Leigh McCawley
• Lori-Ann McConnell, LSW
• Kristin Renee McCoy, MD

• Emergency Medicine Physician in Monument, CO
• Providers in Monument, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.