Michael J Randolph, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34530 Issued in CO

Practice address

9808 W Cedar Ave
Lakewood, CO 80226-1023

Phone

(303) 233-3363

Fax

(303) 233-4622

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1790806503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 W 8TH AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155575",
            "telephone_number": "303-233-3363",
            "fax_number": "303-233-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 W CEDAR AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261023",
            "telephone_number": "303-233-3363",
            "fax_number": "303-233-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "34530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Regina Ramos
• Nicole Leigh Ramsey, RN
• Sydnee Ramsey, PHARMD
• Cierra Joan Randall, DDS MSD
• Alexander Joel Randolph, LPCC
• Vanessa Rangel, RBT-18-47718
• Ashley Lynn Rasch, MSW
• Rasouli Dental Care LLC
• Ellen Ratigan, MS CCC-SLP
• Richard David Ratigan, MD

• Psychiatry Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.

Verify at the official NPI Registry.