Active NPI
Randel L Saylor, MD
- Ophthalmology Physician
- Fort Smith, AR
National Provider Identifier
1952373540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- E6139
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100202680 A | Medicaid | KS | |
| 5H449 | Other | AR | MEDICARE-ARKANSAS |
| 200249040A | Medicaid | OK | |
| 177671001 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| E6139 | AR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Clinic P a Inc | Past | Accepting new patients | |
| Hutchinson Clinic Oncology Dispensary | Past | Accepting new patients | |
| Hutchinson Clinic, P.a. Inc. | Past | Accepting new patients | |
| Dr. Shane F. Laster P.a. | Past | Accepting new patients | |
| Hutchinson Clinic Cardiopulmonary Diagnostics | Past | Accepting new patients | |
| Hutchinson Clinic Optical Shop | Past | Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Past | 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.
-
- Optometrist
- Fort Smith, AR
- NPI 1912415563
-
- Cardiovascular Disease Physician
- Hutchinson, KS
- NPI 1376927624
-
- Hematology & Oncology Physician
- Hutchinson, KS
- NPI 1609399609
-
- Eyewear Supplier
- Hutchinson, KS
- NPI 1841498789
-
- Community/Retail Pharmacy
- Hutchinson, KS
- NPI 1013982305
-
- Rural Health Clinic/Center
- Hutchinson, KS
- NPI 1902871940
-
- Rural Health Clinic/Center
- South Hutchinson, KS
- NPI 1841530946
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.