Active NPI
Randall L Labaki, DO
- General Practice Physician
- Coshocton, OH
National Provider Identifier
1881644599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 34-005788
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0931915 | Medicaid | OH | |
| 000000302734 | Other | OH | BCBS |
| P00034687 | Other | RAIL ROAD MEDICARE | |
| P00034684 | Other | OH | MEDICARE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34005788L | OH | MD | Emergency Medicine Physician |
| 34-005788 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Medical Oncology Physician
- London, OH
- NPI 1245442318
-
- Emergency Medicine Physician
- Urbana, OH
- NPI 1407858871
-
- Emergency Medicine Physician
- Springfield, OH
- NPI 1679574552
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.