Active NPI
Randolph Heinrich Hemsath, M.D.
- Geriatric Psychiatry Physician
- Seminole, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- ME0050014
- Practice address
- 8383 Seminole Blvd
Suite a
Seminole, FL 33772-4392 - Phone
- (727) 562-6331
- Fax
- (727) 585-7357
- NPI assigned
- Feb 6, 2007
- Last updated
- Oct 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0050014 | FL | |
| Geriatric Psychiatry Physician | 2084P0805X | ME0050014 | FL | Primary |
Addresses
Primary practice location
8383 Seminole Blvd
Suite a
Seminole, FL 33772-4392
Mailing address
PO Box 11837
Saint Petersburg, FL 33733-1837
Phone (727) 562-6331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061489100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0050014 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boley Centers, Inc. | Current | Accepting new patients | |
| Gulfside Behavioral Care NP Inc | Current | Accepting new patients | |
| Suncoast Medical Clinic LLC | Past | Accepting new patients | |
| Donna K Dempsey Arnp PA | Past | Accepting new patients |
Locations
3902 E State Road 64
Bradenton, FL 34208
Phone (941) 243-3005
6655 66th St N
Pinellas Park, FL 33781
Phone (727) 545-7564
8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800
647 34th Ave S
St Petersburg, FL 33705
Phone (727) 821-4819
Interoperability endpoints
- https://api.platform.athenahealth.com/19143/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1194838839
-
- Psychiatric/Mental Health Nurse Practitioner
- Bradenton, FL
- NPI 1659768950
-
- Psychiatric/Mental Health Nurse Practitioner
- St Petersburg, FL
- NPI 1982889341
-
- Clinical Medical Laboratory
- St Petersburg, FL
- NPI 1649397662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1700926391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11837",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337331837",
"telephone_number": "727-562-6331",
"fax_number": "727-347-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 SEMINOLE BLVD",
"address_2": "SUITE A",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724392",
"telephone_number": "727-562-6331",
"fax_number": "727-585-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMSATH",
"first_name": "RANDOLPH",
"middle_name": "HEINRICH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0050014",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "FL",
"license": "ME0050014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061489100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.