Individual provider Active NPI

Randall L Labaki, DO

  • General Practice Physician
  • Coshocton, OH
National Provider Identifier
1881644599
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34-005788 Issued in OH
Practice address
235 Kenwood Dr
Coshocton, OH 43812-1997
Phone
(740) 623-2323
Fax
(740) 623-0654
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34005788L OH
General Practice Physician 208D00000X 34-005788 OH Primary

Addresses

Primary practice location

235 Kenwood Dr
Coshocton, OH 43812-1997

Mailing address

3060 Shaw Rd
Zanesville, OH 43701-7194

Other identifiers 4

IdentifierTypeStateIssuer
0931915MedicaidOH
000000302734OtherOHBCBS
P00034687OtherRAIL ROAD MEDICARE
P00034684OtherOHMEDICARE RAIL ROAD

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
34005788LOHMDEmergency Medicine Physician
34-005788OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Family Health Corporation Past Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1881644599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 SHAW RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 KENWOOD DR",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121997",
            "telephone_number": "740-623-2323",
            "fax_number": "740-623-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAKI",
        "first_name": "RANDALL",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34005788L",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34-005788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0931915",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000302734",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00034687",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00034684",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.