Randall L Simonsen MD PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

H8840 Issued in TX

Legal business name

RANDALL L SIMONSEN MD PA

Practice address

1311 East General Cavazos
Christus Spohn Hospital Kleberg
Kingsville, TX 78363

Phone

(361) 595-7979

NPI assigned

Dec 4, 2012

Last updated

Dec 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randall L Simonsen, MDNPI 1235261082

Title

President

Phone

(361) 779-8813

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall L Simonsen, MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Kingsville, TX
  • NPI 1235261082
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1679818595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 CARTAGENA CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186914",
            "telephone_number": "361-779-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 EAST GENERAL CAVAZOS",
            "address_2": "CHRISTUS SPOHN HOSPITAL KLEBERG",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "78363",
            "telephone_number": "361-595-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL L SIMONSEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "SIMONSEN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-779-8813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "H8840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  (TYPE 1)",
            "identifier": "1235261082",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123989901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine C Rabagos, FNP-C
• Cristian Radaneata, OD
• Arturo V Ramirez, DDS
• Edna Lee Ramirez
• Jeffrey Ramirez, DDS
• Kalie Rangel, MS, CCC-SLP
• Joey Ray Ratcliff, LPC, NCC
• Anna Ratka, PHARMD, PHD
• Daphne Rose Restificar, PT
• Gloria Yvette Revilla

• Anatomic Pathology & Clinical Pathology Physician in Kingsville, TX
• Providers in Kingsville, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.