Randall Shane Clower, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10003813 Issued in WA

Practice address

911 S Washington St
Suite a
Kennewick, WA 99336-5600

Phone

(509) 586-8368

NPI assigned

Jun 29, 2006

Last updated

Aug 9, 2023By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Immediate Care and Medical Centers PSGroup PAC ID 7618865775, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Physicians Immediate Care & Medical Centers, P.S.

  dba BestMed

  • Family Medicine Physician
  • Richland, WA
  • NPI 1821002510
  Medicare reassignment Care Compare group
• Center for Excellence in Dermatology, PLLC

  • Specialist
  • Kennewick, WA
  • NPI 1669512950
  Medicare reassignment NPD
• Lourdes Hospital LLC

  dba Lourdes Counseling Center

  • Psychiatric Hospital
  • Richland, WA
  • NPI 1548342181
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1871521864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365600",
            "telephone_number": "509-586-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365600",
            "telephone_number": "509-586-8368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Gage Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993529532",
            "country_code": "US",
            "telephone_number": "509-628-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOWER",
        "first_name": "RANDALL",
        "middle_name": "SHANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "PA10003813",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0226765",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8332090",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Darlene Clayton
• Clearly Lasik, Inc.
• Molly Anne Clemenson, M.T.
• Brian W Clemmons, M.A. LMHC
• Timothy William Clendaniel, DPT
• Cochran Counseling Services LLC
• Patricia J Cochran, BA, MS, LMHC
• Dina Cohen, OTR
• Denise Colbray
• Miles Colburn, BA

• Medical Physician Assistant in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.