Active NPI
Randall L. Schaffner, M.D.
- Family Medicine Physician
- Vernon, TX
National Provider Identifier
1962400895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J0242
- Practice address
- 4301 College Dr
Suite # 300
Vernon, TX 76384-3128 - Phone
- (940) 552-0552
- Fax
- (940) 552-0559
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J0242 | TX | Primary |
Addresses
Primary practice location
4301 College Dr
Suite # 300
Vernon, TX 76384-3128
Mailing address
4301 College Dr
Suite # 300
Vernon, TX 76384-3128
Phone (940) 552-0552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1115362-01 | Medicaid | TX | |
| 1115362-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100920000569 | TX | Practitioner - Family Practice | 4880719442 | Practice locations: Vernon, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4301 College Dr
Vernon, TX 76384-3128
Phone (940) 552-0552
Hospital & facility affiliations
- Angels Care Home Health
- Centerwell Home Health
- Healing Hands Healthcare LLC
- Hospice of Wichita Falls
- Wilbarger General Hospital
- United Regional Health Care System
- Advanced Rehabilitation and Healthcare of Vernon
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 76 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J0242 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor County Hospital District | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Interoperability endpoints
- dr.schaffner@directaddress.net
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Vernon, TX
- NPI 1245639525
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wichita Falls, TX
- NPI 1437152220
-
- Home Health Agency
- Wichita Falls, TX
- NPI 1457722449
-
- Community Based Hospice Care Agency
- Wichita Falls, TX
- NPI 1770583254
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- Home Health Agency
- Vernon, TX
- NPI 1962453126
-
- General Acute Care Hospital
- Vernon, TX
- NPI 1316931835
-
- Psychiatric Hospital Unit
- Vernon, TX
- NPI 1962658302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1962400895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 COLLEGE DR",
"address_2": "SUITE # 300",
"city": "VERNON",
"state": "TX",
"postal_code": "763843128",
"telephone_number": "940-552-0552",
"fax_number": "940-552-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 COLLEGE DR",
"address_2": "SUITE # 300",
"city": "VERNON",
"state": "TX",
"postal_code": "763843128",
"telephone_number": "940-552-0552",
"fax_number": "940-552-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFNER",
"first_name": "RANDALL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J0242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1115362-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1115362-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vernon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.