Randall W. Henthorn MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

11470 Issued in OK

Legal business name

RANDALL W. HENTHORN MD PC

Practice address

520 N Meridian Ave
Oklahoma City, OK 73107-5723

Phone

(405) 736-9331

Fax

(405) 736-0497

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randall Wayne Henthorn, M.D.

Title

President

Phone

(405) 736-9331

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1851429047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731075723",
            "telephone_number": "405-736-9331",
            "fax_number": "405-736-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731075723",
            "telephone_number": "405-736-9331",
            "fax_number": "405-736-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL W. HENTHORN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "HENTHORN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-736-9331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "11470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "731069171007",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP",
            "identifier": "352500500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050080210",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Floyd Ramsey Jr.
• James Ramsey
• Kelly Renee Ramsey, M. S.
• Shannon Ramsey
• Timothy Ramseyer, M.D.
• Victoria Leigh Randall-Penwell, PHARM D
• Arthur Randall
• Dixi Denise Randall, B.A.
• Jeremy Randall
• Kate Randall, M.S

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.