Active NPI
Rande Kent Short, MD
- Family Medicine Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26031
- Practice address
- 15680 Wildwood CT
Colorado Springs, CO 80921-3740 - Phone
- (814) 746-2420
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | MD45722 | IA | |
| Family Medicine Physician | 207Q00000X | 26031 | CO | Primary |
Addresses
Primary practice location
15680 Wildwood CT
Colorado Springs, CO 80921-3740
Mailing address
15680 Wildwood CT
Colorado Springs, CO 80921-3740
Phone (814) 746-2420
Other practice location 1
112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-9703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26031 | CO | MD | Family Medicine Physician |
| MD45722 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Health - Mercy Hospital, Corning, Iowa | Current | Accepting new patients | |
| Seven Hills Emergency Group, PC | Current | Accepting new patients | |
| Alegent Health - Mercy Hospital, Corning Iowa | Family Medicine | Current | Accepting new patients |
| Palmer Lutheran Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Alegent Health Mercy Hospital Corning, Iowa | Family Medicine | Current | Accepting new patients |
| Alegent Health - Mercy Hospital, Corning Iowa | Current | Accepting new patients | |
| Decatur County Hospital | Current | Accepting new patients | |
| Cumberland Clinic SC | Family Medicine | Past | Accepting new patients |
| Michael a Rowley MD PA | Past | Accepting new patients |
Locations
603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121
1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114
210 S Main St
Lenox, IA 50851
Phone (641) 333-2266
1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
Interoperability endpoints
- rshort306467@direct.gundersenhealth.org
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Corning, IA
- NPI 1699856260
-
- Family Medicine Physician
- Corning, IA
- NPI 1821134826
-
- Critical Access Hospital
- Leon, IA
- NPI 1144209255
-
- Critical Access Hospital
- West Union, IA
- NPI 1891744108
Family Medicine
-
- Emergency Medicine Physician
- Jefferson, IA
- NPI 1467030254
-
- Medicare Defined Swing Bed Hospital Unit
- Corning, IA
- NPI 1134204613
-
- Emergency Medicine Physician
- Corning, IA
- NPI 1649334574
Family Medicine
-
- Family Medicine Physician
- Cumberland, WI
- NPI 1629091566
-
- Diagnostic Radiology Physician
- Clovis, NM
- NPI 1174716781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1831177039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15680 WILDWOOD CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213740",
"telephone_number": "814-746-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15680 WILDWOOD CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213740",
"telephone_number": "814-746-2420"
}
],
"practiceLocations": [
{
"address_1": "112 Jefferson St",
"address_purpose": "LOCATION",
"city": "West Union",
"state": "IA",
"postal_code": "521751022",
"country_code": "US",
"telephone_number": "563-422-9703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHORT",
"first_name": "RANDE",
"middle_name": "KENT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "MD45722",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "26031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.