Individual provider Active NPI

Randal L Hamric, MD

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1760541171
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4E85 Issued in MO
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

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00331490MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509000275 MO Order and Referring Only - Family PracticePractitioner - Family Practice 1456265370

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C50423CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.