Individual provider Active NPI

Randolph Heinrich Hemsath, M.D.

  • Geriatric Psychiatry Physician
  • Seminole, FL
National Provider Identifier
1700926391
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
ME0050014 Issued in FL
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
061489100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090526000367 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3577473842 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0050014FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boley Centers, Inc. CurrentSince Jun 15, 1997 Accepting new patients
Gulfside Behavioral Care NP Inc CurrentSince Dec 21, 2015 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.