Active NPI
Randall C Hastedt, MD
- Anatomic Pathology & Clinical Pathology Physician
- Columbus, OH
National Provider Identifier
1811981814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35037545
- Practice address
- 793 W State St
Mt. Carmel West Hospital Pathology Dept.
Columbus, OH 43222-1551 - Phone
- (614) 234-1300
- Fax
- (614) 234-2931
- NPI assigned
- Sep 6, 2005
- Last updated
- Apr 25, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35037545 | OH | Primary |
Addresses
Primary practice location
793 W State St
Mt. Carmel West Hospital Pathology Dept.
Columbus, OH 43222-1551
Mailing address
PO Box 20452
Copa-Cred
Columbus, OH 43220-0452
Phone (614) 888-7874
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0552058 | Medicaid | OH | |
| 0713197 | Medicaid | OH | |
| 220005334 | Other | OH | RR MEDICARE |
| 118238 | Other | OH | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1811981814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20452",
"address_2": "COPA-CRED",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432200452",
"telephone_number": "614-888-7874",
"fax_number": "614-442-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 W STATE ST",
"address_2": "MT. CARMEL WEST HOSPITAL PATHOLOGY DEPT.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221551",
"telephone_number": "614-234-1300",
"fax_number": "614-234-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTEDT",
"first_name": "RANDALL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35037545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0552058",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0713197",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "220005334",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "118238",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.