Randell B Chapman, M.D.

Key facts

NPI

1922073055

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

14857 (OK)

Practice address

1102 W Macarthur St
Shawnee, OK 74804-1743

Phone

(405) 878-8102

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 14

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.

• Ehp of Ponca City LLC Emergency Medicine Physician · Ponca City, OK · NPI 1881419802
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · OK
• Hospitalist Medicine Physicians of Oklahoma TCS LLC Emergency Medicine Physician · Lawton, OK · NPI 1043932486
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · OK
• Nes Oklahoma, Inc. Emergency Medicine Physician · Ponca City, OK · NPI 1528040722
  Medicare reassignment NPD EMERGENCY MEDICINE · OK
• Oklahoma Emergency Services PC Emergency Medicine Physician · Lawton, OK · NPI 1114239795
  Medicare reassignment NPD EMERGENCY MEDICINE · OK
• Purcell Municipal Hospital General Acute Care Hospital · Purcell, OK · NPI 1467476911
  NPD
• Integris Health Ponca City Hospital Inc General Acute Care Hospital · Ponca City, OK · NPI 1548047616
  NPD (past)
• Uhs of Oklahoma, LLC General Acute Care Hospital · Enid, OK · NPI 1417947466
  NPD (past)
• Dodge City Healthcare Group LLC General Acute Care Hospital · Dodge City, KS · NPI 1508932476
  NPD (past)
• Family Medcenters, P.a. Radiology Clinic/Center · Derby, KS · NPI 1104022482
  NPD (past)
• Family Medcenters, P.a. Family Medicine Physician · Mulvane, KS · NPI 1376723528
  NPD (past)
• Family Medcenters, P.a. Urgent Care Clinic/Center · Derby, KS · NPI 1790130458
  NPD (past)
• Family Medcenters, P.a. Family Medicine Physician · Wichita, KS · NPI 1881874030
  NPD (past)
• Family Medcenters, P.a. Family Medicine Physician · Derby, KS · NPI 1982884987
  NPD (past)
• Via Christi Emergency Physician Services, LLC Emergency Medicine Physician · Wichita, KS · NPI 1265497747
  NPD (past) EMERGENCY MEDICINE

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integris Health Ponca City Hospital Inc General Acute Care Hospital · Ponca City, OK · NPI 1548047616
  Care Compare affiliation Hospital
• Uhs of Oklahoma, LLC General Acute Care Hospital · Enid, OK · NPI 1417947466
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Emergency Medicine
Also: Family Practice

Education

University of Oklahoma College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ehp of Ponca City LLC (21 clinicians)
Hospitalist Medicine Physicians of Oklahoma TCS LLC (17 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Health Ponca City Hospital · Ponca City, OK · CCN 370006
• St Mary'S Regional Medical Center Hospital · Enid, OK · CCN 370026

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2013.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1922073055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 NW 159TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131031",
            "telephone_number": "785-408-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W MACARTHUR ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041743",
            "telephone_number": "405-878-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "RANDELL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-23723",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "14857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

• Judy Chaffin
• Pachneerat Chainakul, M.D.
• Mary Chakenatho, MA,CCC-SLP
• Colby R Chamblin, OT
• Alicia Chanski
• William Arturo Chapman, MD
• Jennifer Lynn Cheatham, MS
• Cindy Cheatwood, APRN
• Allison Nichole Childers, RN
• Connie Childress

All providers in Shawnee, OK · Emergency Medicine Physician in Oklahoma