NPIMap

Organization Active NPI

Randy Head, MD, Apmc

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1750468005
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022410 Issued in LA
Legal business name
RANDY HEAD, MD, APMC
Practice address
1470 Garrett Rd
Monroe, LA 71202-3913
Phone
(318) 387-3888
Fax
(318) 324-8967
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Randy W Head I, M.D.NPI 1417930843
Title
Owner/Physician
Phone
(318) 387-3888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 022410 LA Primary

Addresses

Primary practice location

1470 Garrett Rd
Monroe, LA 71202-3913

Mailing address

1470 Garrett Rd
Monroe, LA 71202-3913
Phone (318) 387-3888

Other identifiers 2

IdentifierTypeStateIssuer
1444987MedicaidLA
022410OtherLASTATE LICENSE

Other names 1

  • MONROE REGIONAL MEDICAL CLINIC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1750468005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 GARRETT RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712023913",
            "telephone_number": "318-387-3888",
            "fax_number": "318-324-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 GARRETT RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712023913",
            "telephone_number": "318-387-3888",
            "fax_number": "318-324-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY HEAD, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "318-387-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444987",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "022410",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONROE REGIONAL MEDICAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.