Individual provider Active NPI

Randel L Saylor, MD

  • Ophthalmology Physician
  • Fort Smith, AR
National Provider Identifier
1952373540
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E6139 Issued in AR
Practice address
3000 Rogers Ave
Fort Smith, AR 72901-4232
Phone
(479) 782-8892
Fax
(479) 782-8840
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E6139 AR Primary

Addresses

Primary practice location

3000 Rogers Ave
Fort Smith, AR 72901-4232

Mailing address

3000 Rogers Ave
Fort Smith, AR 72901-4232
Phone (479) 782-8892

Other identifiers 4

IdentifierTypeStateIssuer
100202680 AMedicaidKS
5H449OtherARMEDICARE-ARKANSAS
200249040AMedicaidOK
177671001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6139ARMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Clinic P a Inc PastSince Jan 1, 1990 Accepting new patients
Hutchinson Clinic Oncology Dispensary PastSince Jan 1, 1990 Accepting new patients
Hutchinson Clinic, P.a. Inc. PastSince Jan 1, 1990 Accepting new patients
Dr. Shane F. Laster P.a. PastSince Jun 1, 2025 Accepting new patients
Hutchinson Clinic Cardiopulmonary Diagnostics PastSince Jan 1, 1990 Accepting new patients
Hutchinson Clinic Optical Shop PastSince Jan 1, 1990 Accepting new patients
Hutchinson Clinic, P.a., Inc. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1952373540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014232",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014232",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLOR",
        "first_name": "RANDEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E6139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100202680 A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-ARKANSAS",
            "identifier": "5H449",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200249040A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177671001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.