Randall T Weingarten MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

8716 Issued in NV

Legal business name

RANDALL T WEINGARTEN MD PC

Practice address

10410 S Eastern Ave Ste 110
Henderson, NV 89052-4196

Phone

(702) 617-9599

Fax

(702) 614-8937

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Randall Weingarten, M.D.NPI 1376649012

Title

President

Phone

(702) 617-9599

Specialties & licenses 1

Addresses

Other names 1

• Dupage ENT Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Todd Weingarten, M.D.

  • Otolaryngology Physician
  • Henderson, NV
  • NPI 1376649012
  Medicare reassignment NPD Authorized official
• Jeannie Khavkin, M.D.

  • Otolaryngology Physician
  • Las Vegas, NV
  • NPI 1144470048
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1972609618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50007",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160007",
            "telephone_number": "702-617-9599",
            "fax_number": "702-614-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 S EASTERN AVE STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524196",
            "telephone_number": "702-617-9599",
            "fax_number": "702-614-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL T WEINGARTEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "WEINGARTEN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-617-9599",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "8716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dupage ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda Ramos
• Kelly Ann Ramsdell, RN
• Kevin Paul Ramsey, M.D.
• Pooja Rana, DO
• Jacqueline Randa, PT
• Carolina Randazzo
• Veronica Randolph
• Dustin Samuel Randy, PA-C
• Ashley Rangel
• Katherine Ranile, OTR/L

• Otolaryngology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Otolaryngology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.