Active NPI
Randal L Hamric, MD
- Family Medicine Physician
- Springfield, MO
National Provider Identifier
1760541171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R4E85
- Practice address
- 1850 W Republic Rd
Springfield, MO 65807-5730 - Phone
- (417) 891-4800
- Fax
- (417) 891-4913
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C50423 | CA | |
| Family Medicine Physician | 207Q00000X | R4E85 | MO | Primary |
Addresses
Primary practice location
1850 W Republic Rd
Springfield, MO 65807-5730
Mailing address
1850 W Republic Rd
Springfield, MO 65807-5730
Phone (417) 891-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00331490 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220509000275 | MO | Order and Referring Only - Family Practice | 1456265370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50423 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocates for a Healthy Community Inc | Past | Accepting new patients | |
| Advocates for a Healthy Community, Inc. | Past | Accepting new patients | |
| Advocates for a Healthy Community, Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Jordan Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- Buffalo, MO
- NPI 1750179610
-
dba Jordan Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1558303057
-
dba Jordan Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1366575573
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1760541171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075730",
"telephone_number": "417-891-4800",
"fax_number": "417-891-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075730",
"telephone_number": "417-891-4800",
"fax_number": "417-891-4913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMRIC",
"first_name": "RANDAL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C50423",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R4E85",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P00331490",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.