Organization Active NPI

Randolph Womens Center

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1891806972
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
RANDOLPH WOMENS CENTER
Practice address
661 S Parkway E
Memphis, TN 38106-5617
Phone
(901) 346-9116
NPI assigned
Aug 31, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Donna W Randolph, M.D.
Title
Owner/Partner
Phone
(901) 346-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

661 S Parkway E
Memphis, TN 38106-5617

Mailing address

PO Box 1000
Dept. 299
Memphis, TN 38148-5617
Phone (901) 346-9116

Other identifiers 1

IdentifierTypeStateIssuer
3373068MedicaidTN

National Provider Directory

National Provider Directory

Locations

4274 Faronia Rd
Ste 1
Memphis, TN 38116
Phone (901) 346-9116

661 S Parkway E
Memphis, TN 38106
Phone (901) 346-9116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1891806972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT. 299",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381485617",
            "telephone_number": "901-346-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S PARKWAY E",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381065617",
            "telephone_number": "901-346-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "901-346-9116",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3373068",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.