Active NPI
Randolph Womens Center
- Obstetrics & Gynecology Physician
- Memphis, TN
National Provider Identifier
1891806972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3373068 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.