NPIMap

Organization Active NPI

Randall K Cundiff

  • Family Medicine Physician
  • Cimarron, KS
National Provider Identifier
1902003254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RANDALL K CUNDIFF
Practice address
107 N Main St
Cimarron, KS 67835
Phone
(620) 855-4616
Fax
(620) 855-4613
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Julie Franco
Title
Billing Agent
Phone
(316) 263-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X KS Primary

Addresses

Primary practice location

107 N Main St
Cimarron, KS 67835

Mailing address

107 N Main St
Cimarron, KS 67835
Phone (620) 855-4616

Other names 1

  • RACY'S MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Racy'S Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902003254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N MAIN ST",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "67835",
            "telephone_number": "620-855-4616",
            "fax_number": "620-855-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MAIN ST",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "67835",
            "telephone_number": "620-855-4616",
            "fax_number": "620-855-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL K CUNDIFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "316-263-0776",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RACY'S MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cimarron, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.