Individual provider Active NPI

Randell B Chapman, M.D.

  • Emergency Medicine Physician
  • Shawnee, OK
National Provider Identifier
1922073055
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14857 Issued in OK
Practice address
1102 W Macarthur St
Shawnee, OK 74804-1743
Phone
(405) 878-8102
NPI assigned
Feb 22, 2006
Last updated
May 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04-23723 KS
Emergency Medicine Physician 207P00000X 14857 OK Primary

Addresses

Primary practice location

1102 W Macarthur St
Shawnee, OK 74804-1743

Mailing address

605 NW 159TH St
Edmond, OK 73013-1031
Phone (785) 408-2109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000457 OK Practitioner - Emergency MedicinePractitioner - Family Practice 3779559018 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: 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 LLCGroup PAC ID 1850828948, 21 clinicians
Hospitalist Medicine Physicians of Oklahoma TCS LLCGroup PAC ID 7315315454, 17 clinicians

Practice addresses (Care Compare)

1900 N 14TH St
Ponca City, OK 74601-2035
Phone (580) 765-3321

5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14857OKMDPharmacist
04-23723KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Oklahoma TCS LLC Emergency Medicine CurrentSince Dec 27, 2022 Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine CurrentSince Nov 19, 2012 Accepting new patients
Purcell Municipal Hospital Current Accepting new patients
Nes Oklahoma, Inc. Emergency Medicine CurrentSince Feb 22, 2022 Accepting new patients
Ehp of Ponca City LLC Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Family Medcenters, P.a. PastSince Jan 1, 1990 Accepting new patients
Via Christi Emergency Physician Services, LLC Emergency Medicine Past Accepting new patients
Family Medcenters, P.a. PastSince Jan 1, 1990 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
Dodge City Healthcare Group LLC Past Accepting new patients
Integris Health Ponca City Hospital Inc Past Accepting new patients
Family Medcenters, P.a. PastSince Jan 1, 1990 Accepting new patients
Family Medcenters, P.a. PastSince Jan 1, 1990 Accepting new patients
Family Medcenters, P.a. PastSince Jan 1, 1990 Accepting new patients

Locations

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.