Randy Dale Visser, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18333 Issued in OR

Practice address

4282 SW 43Rd St
Redmond, OR 97756-6976

Phone

(541) 420-9482

Fax

(541) 323-3794

NPI assigned

Apr 11, 2006

Last updated

Dec 29, 2020By the provider in NPPES

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 OR

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 Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABBCAA

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  OR

  Medicare reassignment NPD
• Randy D Visser DO PC

  • Internal Medicine Physician
  • Redmond, OR
  • NPI 1720498389
  Authorized official Same address or phone
• Internal Medicine Associates of Redmond

  • Internal Medicine Physician
  • Redmond, OR
  • NPI 1821206285
  NPD (past)
• Redmond Internal Medicine Clinic,LLP

  dba Redmond Medical Clinic

  • Family Nurse Practitioner
  • Redmond, OR
  • NPI 1164436085

  Internal Medicine

  NPD (past)
• St. Charles Health System, Inc.

  dba St. Charles Medical Center - Bend

  • Rehabilitation Hospital Unit
  • Bend, OR
  • NPI 1154343150
  NPD (past)
• St. Charles Health System, Inc.

  dba St. Charles OB/GYN - Redmond

  • Obstetrics & Gynecology Physician
  • Redmond, OR
  • NPI 1447554589
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1801859574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560111",
            "telephone_number": "541-420-9482",
            "fax_number": "541-323-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 SW 43RD ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566976",
            "telephone_number": "541-420-9482",
            "fax_number": "541-323-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "RANDY",
        "middle_name": "DALE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "18333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Viebeck
• Adriana Villagomez, W000105276
• Matthew Vinson, MSW, LCSW, CADC III
• Vira Behavioral Health LLC
• Vision Center, LLC
• Adam Vogel, LPC, CADC I
• April M Von Allmen, PHARMD
• Piera E Von Glahn
• Wendy Dawn Von Seggern
• Jake Metolius Waits, D.O.

• Internal Medicine Physician in Redmond, OR
• Providers in Redmond, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.